the gujarat cancer & research institute 2017-18.pdfour vision our core values gcri, with a...

TheGujaratCancer&ResearchInstitute

(M. P. Shah Cancer Hospital)

STATE CANCER INSTITUTE

(Recognized by Ministry of Health & Family Welfare, Govt. of India)

AnnualReport2017-2018

Shri Pankaj R. PatelChairman, Governing Board, GCRI

Members of Governing Board

Purchase Committee Members

Dr. Shashank PandyaIncharge Director, GCRI

& Member Secretary

Shri Prashant KinarivalaGeneral Secretary, Gujarat Cancer Society

Chairman

Shri Kshitish MadanmohanSecretary, Gujarat Cancer Society

Member

Dr. Shashank PandyaIncharge Director, GCRI

Member Secretary

Nominated byGovt. of Gujarat

Shri Punamchand Parmar, IAS

Add. Chief Secretary, Health & Family

Welfare Department,

Government of Gujarat

Dr. Jayanti Ravi, IAS

Commissioner of Health Services,

Government of Gujarat

Shri Milind Torawane, IAS

Secretary, Finance Department

(Expenditure), Government of Gujarat

Chairman/Managing Director,

GMDC

Dr. Bharat Amin, MS

Nominated by Government of Gujarat

Nominated byGujarat Cancer Society

Deputy Director General, Ministry ofHealth & Family Welfare,Government of India

Director (IF), Ministry of Health,Government of India

Nominated by Govt. of India

Shri Prashant KinarivalaGeneral Secretary,Gujarat Cancer Society

Shri Kshitish MadanmohanSecretary,Gujarat Cancer Society

Shri Chintan ParikhVice President,Gujarat Cancer Society

Dr. Devendra PatelFormer Director, GCRI

Shri Pankaj R. PatelExecutive Chairman,Gujarat Cancer Society

STATE CANCER INSTITUTE(Recognised by Ministry of Health & Family Welfare,

Government of India)

MEMBER OF UICC

International Union Against Cancer(UICC)

ANNUAL REPORT2017 - 2018

THE GUJARAT CANCER & RESEARCH INSTITUTE

‘JOINT VENTURE OF GOVERNMENT OF GUJARAT ANDTHE GUJARAT CANCER SOCIETY’

(M. P. SHAH CANCER HOSPITAL)Afliated to B J Medical College

Civil Hospital Campus, Asarwa, Ahmedabad 380 016, Gujarat, INDIA

Tel: 079-22688000 (Hunting); Fax: 079-22685490

Website: www.cancerindia.org; E-Mail: [email protected]

Our Mission

ThemissionoftheGCRIistoprovidestate-of-theartdiagnosticandtherapeuticservicestothepatientsofalltypesoforiginand�inancialbackground suffering from cancer. Its scopealso encompasses registering the tumor

burdeninthepopulation,preventionthroughawareness drives, solving local medicalproblems through research and training ofmedical students as well as impartingknowledgetothemedicalfraternity.

ToFul�ilTheMission,GCRI

1

• Conducts OPD and indoor activities for diagnosis, staging, treatment and monitoring disease progress.

• Renders free or subsidized treatment to needy patients without any distinction of caste, creed or religion.

• Provides training to new generation of doctors as well as practicing fraternity.

• Offers unique experimental and research-oriented diagnosis and treatment services to test new forms of diagnosis and therapy in order to improve quality of life and expected survival of those afflicted with cancer.

• Organizes public education programmes, the diagnostic and blood donation camps, conferences and other scientific meets.

• Displays a permanent Cancer Awareness and Anti-tobacco exhibition and arranges other preventive efforts.

• Runs instruction based Hospice Centre, Home-Hospice Services and Rehabilitation Service.

Annual Report 2017 - 2018

Our Vision

Our Core Values

GCRI, with a multi-disciplinary closerelationship between cancer care, researchandeducation,intendstoprovidethegreatesthope to the patients and the generalpopulation whose needs, we endeavour tocaterto.Itstrivestoseethatfruitsofmodernsciencereachuptothelastman.GCRIbelievesthattheworldclasscancerresearch,stateofart therapeutic efforts and intensive and

extensive educational efforts regardingprevention, detection, treatment andpalliationinthe�ieldofcancerwillimprovethequalityof lifeofall thosewhosuffer fromit.GCRI collaboration believes that with othercancer organisations, research laboratoriesand pharma-research establishments willbringabettertomorrow.

GCRIisdedicatedto

“Sometimes money, sometimes wisdom, sometimes socialsupport or sometimes work experience is obtained.

One’s efforts to alleviate suffering never go un-rewarded.”

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• Scientific attitude and humane approach to diagnosis and treatment of cancer.

• Inquisitiveness, innovation and creativity in the field of research and its translation into day-to-day clinical applications.

• Value oriented as well as information and skill-intensive educational programmes.

• Respect to all schools of thoughts and endeavours for free exchange of ideas with due acknowledgements of contributions by each member of GCRI.

• Simple, effective and targeted awareness programmes for prevention as well as early detection of cancer and anti-tobacco drive directed at the medical profession and population at large.

• Providing hope, sympathy and respect to all those who are terminally ill.


TABLE OF CONTENTS

Department / Division Page No.No.

Clinical Departments ( A - J )

AnaesthesiologyA

Palliative Medicine 24

Community Oncology & Medical Records General Statistics of Registered Cases

B

Gynaecological OncologyC

Medical & Paediatric OncologyD

13

11

19

21

Pathology

F1 - Histopathology, Cytology, Biochemistry, Haematology

F2 - Blood Bank

F3 - Microbiology

F

Radiodiagnosis

G1 - Imaging Services

G2 - Nuclear Medicine and PET CT

G

RadiotherapyH

Surgical Oncology

I1 - General Surgical Oncology

I2 - Reconstructive (Plastic) Surgery

I3 - Urosurgery Oncology

I4 - Musculoskeletal OncoSurgery

I5 - Paediatric Surgery

I6 - Interventional Therapeutic Centre (IVTC)

I7 - Ophthalmic Surgery

I

NeurosurgeryJ

K Support Services

K1 - General Administration and Human Resourses

K2 - Educational Graphics & Medical Photography

K3 - Library & Information Services

K4 - Nursing Services

K5 - Stoma Clinic

K6 - Pharmacy

K7 - Physiotherapy

K8 - Prosthesis and Rehabilitation

29

26

26

31

35

35

37

38

40

41

41

42

42

42

43

44

45

46

46

52

53

55

57

58

59

60

E


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TABLE OF CONTENTS

Department / Division Page No.No.

Cancer Biology (Research Wing)

L1 - Immunohaematology Lab

L2 - Tumor Biology Lab

L3 - Clinical Carcinogenesis Lab

L

64

66

61

61

L5 - Stem Cell Biology Lab

L6 - Cytogenetic Lab

L4 - Molecular Oncology Lab 67

69

70

Educational Activities

M1 - Activities of the Scientific Research Committee

M2 - Clinical Meetings

M3 - Complementary Training Programme to Formal Education

M4 - Formal Educational Courses

M5 - GCS Research Journal

M6 - Hospital Day Celebration

M7 - Professional Training to Doctors and Scientists

(Conferences, Workshops)

M8 - Professional Training to Paramedics (Technological Courses)

M

M9 - Staff Training – Intramural and Extramural

Community Oncology Centre (COC, Vasna)N

Community Outreach ActivitiesO Cancer Detection Camps, Blood Donation Campsand Cancer Awareness Camps, Home Care Service

72

73

72

73

73

73

74

78

78

79

80

83

Research Activities

Q3 - Projects

Q2 - Publications

Q1 - Conference Presentations

Functioning of Committees

List of Equipments 2017 - 2018

Balance Sheet 2017 - 2018

P

Q

R

S

86

95

95

104

108

112

115

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Chairman’sMessage

Communitiesworldwidearegrapplingwiththescourgeofcancer. Slowlyandgraduallythismenacehasbecomeahealthhazardcreepinginquietlyanddevastatingourlives.

Morethan14millionnewcasesofcancerarereportedeveryyearacrosstheglobeandthenumberofnewcases is expected to rise by 70 percent in the next two decades, as estimated by theWorld HealthOrganisation.InIndia,cancerisamajorcauseofmorbidityandmortality.Onanaveragenearly1500peoplebattlethisdiseaseeverydayandithasbecomeoneoftheleadingcausesofdeathinthecountry.Itisalso increasingly impacting the quality of life with the Lung, Liver, Colorectal, Stomach and Breastemergingasthemostcommoncausesofcancer.

Havingsaidthat,Ibelievethatamidstthisgrowingmenaceisalsoarayofhope.Itisestimatedthatabout30%to50%ofcancerscanbepreventedbycontrollingthemodi�iableriskfactorssuchastobaccouse,alcoholuse,unhealthydietandphysicalinactivity,amongstothers.Inaddition,asigni�icantproportionofcancerscanbecured,bysurgery,radiotherapyorchemotherapy,especiallyiftheyaredetectedearly.

Inmanyurbanandruralhouseholds,cancertreatmentisdisruptedduetolackofawareness,denialanddelayeddiagnosisandtreatment.Earlydiagnosisandtreatmentofcancercantrulymakeadifference.Thisiswhatde�inesthemissionoftheGujaratCancer&ResearchInstitute(GCRI),reachingouttothepatientssufferingfromcancerespeciallyfromthe�inanciallydisadvantagedsectionswithbest-in-classservicesinprevention,detection,treatmentandpalliationinthe�ieldofcancer.

Sinceitsinceptionin1972,GCRIhasbeenleadingthe�ightagainstcancerprovidingworld-classfacilitiesforcancerdiagnosis,treatment,care,research,rehabilitationandeducation.Overthelast�ivedecades,ithasestablisheditselfasthemostaffordablecentreforbonemarrowtransplantationinmalignantandnon-malignantconditions.

Toprovideanoverviewontheyeargoneby,30,163newcancerpatientsregisteredand3,94,712patientsattended OPD during the year. 1,20,616 radiological, 1,54,759 histologic and cytologic and 7,69,297laboratoryinvestigationswereperformedattheInstitute.Nearly6023majorsurgeriesand15667minorsurgeriesincludingIVTCwereperformed,9180patientsunderwentradiotherapy,55390patientsweretreatedwithchemotherapyand42patientsunderwentbonemarrowtransplantation.

Painmanagementiscriticalforcancerpatients,especiallyinpatientssufferingfromadvancedstagesofcancer.Thisisaddressedbythepalliativemedicinedepartmentoftheinstitute.Duringtheyear,13768patientswereofferedpalliativecareforpainmanagement,563patientsweregivenHomeCareServicesand298patientsattheHospiceCentre.

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GCRIisapartofthecancerregistryprogrammeensuringgoodqualitydatanecessaryforplanningofhealth service and carrying out cancer control programmes. The Hematology, Flow Cymetry andMicrobiologyLaboratoriesofGCRIareNABLaccreditedsince2011.

TheGujaratCancer&Research Institutehasbeenat the forefront in the �ightagainstcancer throughawareness and prevention programmes, preventive health check-ups, setting up super specialities incancercareandotherareaslikephysiotherapy,hospicecare,stomaclinic,speechtherapy,prosthesisandrehabilitation.

Today,GCRIspecialisesinsurgicaloncology,medicaloncology,radiationoncology,preventiveoncology,paediatriconcology,neuro-oncology,gynaec-oncology,radiodiagnosisandnuclearmedicine,pathologyandmicrobiologyandlaboratorymedicineledbyateamofhighlyquali�ieddoctorsandsurgeons.

Placinganimpetusoninnovation,GCRIhasalsobeenpromotingbasicresearchatits�ivewell-equippedresearchlaboratoriesonseveralaspectsofcancerbiologyforearlydiagnosis,monitoring,prognosticationandcancermanagement.TheinstitutealsopromotesacademiccourseslikeDM,MCh,MD,DMRE,DA,DCP,DGOinoncologyaswellasM.Sc.inCancerBiologyandPhDinLifescience.

Whilewehavemadeabeginninginwagingawaragainstthisdeadlydisease,thereisstillalongwaytogointhisbattle.Iamcon�identthatwewillmakeheadwayasGCRIisblessedwithateamofdedicatedandhighlycommitted doctors, physicians, surgeons, academicians, researchers and administrators who willcontinuetoleadthis�ightagainstcancerwiththeirknowledge,skills,careandcompassion.

PankajR.Patel,Chairman,

GoverningBoard,GCRI

Date:July29,2018

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FromTheDeskofInchargeDirector

Gujarat Cancer&Research Institute (GCRI) established in 1972 and in a journey of 46 yearsmetamorphosedas StateCancer Institute.The Institutehas comprehensive facilities forpatient care,teachingandresearch.GCRIisinstrumentalinthedevelopmentoftertiarycancercenters(TCC)inthestate.GCRIhasdevelopedSiddhpurCancerCenterandestablishingnewTCCsfunctionalatRajkot.

GCRI focuses on four major areas: 1) providing state-of-the-art diagnostic and therapeuticmanagementbymultidisciplinaryteam,2)treatingpatientswithcancerpainandwithterminalstage,3)reducingcancerburdeninGujaratStatebyconductingcommunityout-reachprograms,earlydetectioncamps,regularhealthcheck-upprograms,and4)offeringmedicaleducationandresearch.

ComprehensiveCancerCare:

GCRIofferscutting-edgecancertreatmentoptionsathighlevelsofcareandconvenience,andhelpimprove cancer survival rates. Institutemanages adult andpaediatric cancerpatientswith650bedsfacility.Twenty-oneclinicaldepartmentsincludingsuperspecialtywithothersupportservicesinvolvedintreatmentofalltypesofcancers.Thisyear29,952newcancerpatientsregisteredand3,58,499patientsattendedOPD.Themostcommonthreeleadingsitesofcancerobservedinmenareoralcavityexcepttongue(21.92%),tongue(12.18),lung(10%)andinwomenarebreast(21.45%),cervixuteri(17.18%),mouth (6.77%). In a year, 1,18,983 radiological, 1,84,913 histologic and cytologic, and 17,54,904laboratoryinvestigationswereperformed.Further,4,372majorsurgeriesand16,520minorsurgeriesincludingIVTCwasperformed,10,226patientstreatedwithRadiotherapy,49,605patientstreatedwithchemotherapyand28patientswithBoneMarrowTransplantation.TheHematology,FlowCytometryandMicrobiologyLaboratoriesareNABLAccreditedsince2011.

GCRIcaterscancercaretothepoorestofpoorwithqualityservicetothecancerpatientsofGujarat,Rajasthan,MadhyaPradesh,Maharashtraandotherstates.MAYojana,MAVatsalyaYojana,LowIncomeGroupScheme,SchoolHealthProgram,S.C.,S.T.andotherGovernmentSchemeshelptoservelowsocio-economicgroupwithbettercancercare.

Palliative&HospiceCare

Painisacommonsymptomforcancerpatients,especiallypatientswithadvancedstageofcancers.Cancerpain and treatmentof terminally ill patients aremanagedbypalliativemedicinedepartment,HospiceCentreandHomeCareServices.Thisyear18,854patientswithcancerpainaremanagedattheinstitute,114patientsbyHomeCareServicesand225patientsatHospiceCentre.

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Dr.ShashankPandya,In-chargeDirector

Date:July29,2018

8


CommunityAwarenessandDetectionCampaign

Thecampaignaimstoprovideawarenessoncancer,earlydetectionandtipsforpreventionforvarious cancers thereby to reducemorbidity andmortality through cancer awareness and detectioncamps.Thisyear5,218peoplevisitedin22cancereducationcamps,and265suspiciouscancercaseswerereferredtoGCRIthrough78CancerDetectionandSanjeevaniRathCamps.

Education&Research

GCRI provides medical education and training to future health professionals. The medicaleducationoftheinstitute isaf�iliatedtoBJMedicalCollegeforconductingMD,D.M./M.Ch.coursesinoncologyand145medicalstudentsareenrolled.Ph.D.inLifeSciencesandMicrobiologyaf�iliatedwithGujaratUniversityarealsoconductedattheinstitute.ScientistsofCancerBiologydepartmentmentor8PhDstudentsand35MScCancerBiologystudents.Thereare57researchpublications,2International,32Nationaland67StateConferencepresentationswith28ongoingresearchprojectswith18clinicaltrials.Thisyear13staffmemberssupportedfortrainingandscienti�icworkshops.

IncomingyearGCRIwillmoveinnewbuildinganddiligenttogetNABHAccreditation.Wecontinuetostrivetowardsourmissiontopowerfulandinnovativetherapiestocancerpatients,improvequalityoflifeandrestorehope.Wewishtoemergeasgloballeaderincancercontrolandtoacceleratethepaceofgroundbreakingtranslationalresearchthatcangetlifesavingnewtherapies.

GCRIPro�ileAtAGlance

GCRI-SpecialityHospitalforCancerRegionalCancerCentre

GCRI-SpecialityMedicalEducationCentre

650 indoor beds - Largest Cancer Hospital of the country

29,952 New Cases

3,58,499 Outdoor patients

2,20,137 Indoor admissions

17,54,904 Laboratory tests

1,84,913 Histologic, Cytologic and Bone Marrow examinations

1,18,983 Imaging and Radiological investigations

21,335 Major and Minor Surgeries

49,605 Chemotherapy Treatment

10,226 Radiation Treatment

DM - Medical Oncology

MC h - Surgical Oncology, Gynaecological Oncology

MD – Pathology, Microbiology, Radiodiagnosis, GynaecologicalOncology, Anaesthesiology, Radiotherapy

DMRE – Radiodiagnosis; DA – Anaesthesiology;DCP – Pathology; DGO – Gynaecological Oncology

Postgraduate Students – 145 Students

PhD - Life Sciences & Medical Microbiology – 13 Students

Diploma in Medical Laboratory Technologists – 50 Students

M Sc in Cancer Biology - 40 Students

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GCRI-ResearchOrganisation

GCRI–CommunityCommitments

6 well equipped Research Labs

28 on-going Research Projects; 18 Clinical Trials

Scientists are PhD Guides

Additional support from - National Cancer Institute (NCI),USA/Germany/IARC/DST/DBT/CSIR/ICMR/DAE/GSBTM/DMER/GUJCOST/GCS/IACA

Clinical Research hub for National and International drug trials

National Registry Programme - ICMR

Prevention of Cancer - Anti-tobacco Drive & Tobacco Cessation Centre

Early Detection - Health Checkup & Cancer Detection Camps

Cancer Awareness: Exhibition, Cancer Information Center

Hospice Care; Home Service Care

Poor Patient Support

Telepathology and Telemedicine Projects

Patient Care Evaluation Committee

Sanskar Chowk (Entertainment and Education of Patients andtheir Relatives)

Night Shelter for Patient’s Relatives

10


GCRIPro�ileAtAGlance

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ClinicalServices:Thedepartmentprovidesservicesof anesthesia for oncosurgical patients. Anesthesiaservices areprovidedduringperi-operativeperiod,which includes pre-anesthetic checkup andanesthesia fitness, intra-operativemanagementandpost-operativecareofthepatients.Ourdepartmentprovidesanesthesiaormonitoredanesthesiacareasper the requirement of the patient and surgeons.Different super specialties like Plastic surgery,Musculo-skeleton surgeries, Urology surgeries,Neuro Oncology; Gynecological surgeries etc. areinvolvedintreatmentofcancer.Treatmentandcareofcritically ill patients in ICUs (Surgical, Medical andNeuroOncology)ispartofanesthesiaservices.Theseservicesareprovidedforallmajorandminorsurgical

procedures, gynecological surgeries, neurologicalsurgeries and day stay surgeries. Anesthesiadepartment also gives services for eitherprovidinganesthesia or providing only monitoring care forradiotherapy patients, patients undergoingradiologicalprocedures,invasiveproceduresinIVTCorCTscan,PETScanandMRI.Ourdepartmenttakeslead in peripheral venous access aswell as centralvenousaccessasperrequirementofthepatient.Allemergency calls for resuscitation, monitoredanesthesia and venous access are attended by thedepartmental staff. The department providesemergency services in all the wards for central /peripheral venous access of the patient as well aspulmonaryfunctiontestsmeasurement.

A. Anaesthesiology

Professor & Head: Dr. Bipinbhai Patel Professors: Dr. Bhavna Shah, Dr. Jayshree Thakkar

Associate Professors: Dr. Dipika Patel, Dr. Neeta Gosai, Dr. Damini Makwana, Dr. Leena PatelAssistant Professors: Dr. Kinna Shah, Dr. Bijal Shah, Dr. Priti Patel, Dr. Madhuri Bhade, Dr. Rekha Solanki

Junior Lecturers: Dr. Jenish Patel, Dr. Amita Jansari, Dr. Misha Agarwal, Dr. Tanmaya Tank


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Major Achievements: Dr. Bipin Patel, Professorand Head, received Dr. P. R. Trivedi Oration in theConference of Gujarat State Branch of IMA inNovember2017.

Dr. Bhavna Shah, Professor, invited as a guestspeakerinNationalConferenceofIndianSocietyforTheStudyofPainatNewDelhiinFebruary2018,andin Gujarat Government State Level Training onPalliative Care for doctors and paramedical staff inDecember2017. Shewas felicitatedby ISA-GSB forher outstanding work as Hon. Secretary cumTreasurerduring2001-2009.

Dr. Jayshree Thakkar, Professor, was invited asstFacultyatISASponsored1 WestZonePGAssembly

2017atBJMedicalCollege,Ahmedabad,October27-29,2017.

Dr.DipikaPatel,AssociateProfessor,participatedasth th

facultyin13 ISACONWestZoneand19 ISACONatAIIMS, Jodhpur, on September 2-3, 2017 and inISACON GUJARAT 2017 on October 6-8, 2017 atAhmedabad. She was mock exam faculty at ISA

stSponsored 1 West Zone PG Assembly 2017 at B JMedicalCollege,Ahmedabad,October27-29,2017.

Dr.NitaGosai,Dr.DaminiMakwana,andDr.LeenaPatel,AssociateProfessors,andDr.Rekha Solanki,

stAssistantProfessor,werefacultyatISASponsored1 WestZonePGAssembly2017atBJMedicalCollege,Ahmedabad,October27-29,2017.

Details of Work Done Number

Major Operations, DSU OT (Elective and Emergency surgeries) 4957+368

Neuro OT Elective, Emergency surgeries 969+4

Day Stay Unit (GA + LA) 6730

CT Scan, MRI, USG Guided Biopsy, PET Scan 139+74+45+2

Intra Cavitory Radium and Implant under Anesthesia 988

Radiotherapy in pediatric patients under Anesthesia 587

Interventional Therapy under anesthesia (IVTC) 309

Central venous access and LP 348+15

Dr.KinnaShah,AssistantProfessor,awardedH.M.thDesaiAwardforInstitutionalTeacherat50 annual

conferenceofISAGujaratStateBranchatAhmedabadonOctober6-10,2017.

Dr.BijalShah,AssistantProfessor,participatedasafacultyintheGIMACONGUJARAT2017onNovember18-19,2017atAhmedabad.

Dr. Priti Patel, Assistant Professor,was organizingcommittee member and invited judge for AnnualconferenceofISAGujaratStateBranchatAhmedabadonOctober6-10,2017.ShewasGMCobserverinISA

stSponsored 1 West Zone PG Assembly 2017 at B JMedical College, Ahmedabad, October 27-29, 2017.ShealsocoordinatedworkshoponUSGguidednerveblocksatISACONGujarat2017.

Dr. Srishti Meghare, Resident, received T. N. ZhathAwardfor50 annualconferenceofISAGujaratState

BranchatAhmedabadonOctober6-10,2017.

WorkshopOrganised:Dr. JayshreeThakkar andDr. Kinna Shah organized ‘Basic Life Support &Advanced Cardiac Life Support’ Workshop (LearnCPR,SaveLife)for68firstyearresidentsofGCRIonJanuary 15, 2018 at Telemedicine Center. Dr.Jayshree Thakkar and HICC organized HandHygiene,TrainingProgrammeforNursingonMarch2,2018.

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ClinicalServices: Duringtheyear2017,NewO.P.D.:a total of 29,952 patients were registered. Thedocuments under various schemes/categories suchasMukhyamantriAmrutamYojana(MAYojana),MAVatsalyaYojana,EmployeesStateInsuranceScheme(E.S.I.S.), State Government employees/pensioners,Lowerincomegroupcategory(L.I.G.),IndianCancerSociety(ICS)fund,ScheduledCastes(SC)&ScheduledTribes(ST)categoriesetc.areverified.Somespecialradiological and laboratory investigation cards arealsoissued.Yearwisegeneralstatisticsofhospitalispreparedhere.

Old O.P.D.: It maintains the records of newlyregistered cases as well as old (follow-up) cases.Therewere3,58,499outdoorpatientscameforfollowupduringtheyear2017.Pathologyreports,Travelingpasses (ST/Railway) and stickers are issued here.Patient’s admission-discharge and hospital death

r e g i s t r a t i o n s wo r k s a r e d o n e . M e d i c a lreimbursementworkisalsocarriedoutatOldOPD.Patient’s follow up information are also kept. Forpatient’sconvenience,SMSsoftwareisimplemented.Patient can inform through SMS prior to his/herfollowupdaysothathis/hercasefilearekeptreadybefore patient’s arrival. Helpline facility throughphonecallisalsostartedforfollowup. Patientcanmakeappointmentthedaybeforehis/herfollow-upday by phone call on helpline number. His/herappointmentisregisteredandsmsissendtohis/hermobilenumber.TheMRDstaffskeepthesefilereadywhen patients come for follow up. Case files areprovided to other departments for their research/dissertation study purpose. Computerized medicalcertificateareissuedandformsofMedi-claimpolicyandLifeInsurancepolicyofexpiredpatientsarefilledhere.

B. Community Oncology & Medical Records

Assistant Professor and Head: Dr. Janmesh Shah Assistant Professor: Dr. Anand Shah

Medical Officer: Dr. Rohini PatelMedical Record Officer: Himanshu Patel

Statistical Assistants: Jayesh Solanki, Vishruti PandyaJunior Statistical Assistant: Neha Jadav


14

Details of Work Done Year 2017

Total new cases registered(Cancer & Non-cancer)

29952

Adult Cases 28751

Pediatric Cases 1201

Total No. of Outdoor Patients visited 358499

New Admission during the year 25265

Inpatient days 220137

Average inpatient stay 8.71

Strength of beds 650

Death During the Year 1491

Haematological Investigations 893996

Biochemical Investigations 702413

Bacteriology Investigations 16362

Serology Investigations 100110

Cytological Investigations 15450

Histological Examinations 104622

Bone Marrow Examinations 4619

Biopsy procedures(Other than Endoscopies & B.M. Bx.)

12560

Total B.T. given to the patients 14886

Total Plasma / PRP given to the patients

22185

Imaging & Radiological Investigations

MMR Ba. Swallow & other X-rays 58796

Ultrasound (USG) 20532

CT Scan 26824

MRI 2942

Mammograms 6207

OPG 2834

Colour Doppler 875

Radiation Treatment

Brachy Therapy 711

Cesium Teletherapy -

Cobalt Teletherapy -

Details of Work Done Year 2017

Linear Accelerator 5309

BHABHATRON 1995

Mould prepared for Planning 1739

Simulator treatment Planning 512

Surgical Operations

Major 5000

Minor 8690

I.V.T.C 6695

Neurosurgical Operations 970

Nuclear Medicine (Isotope)

PET CT Scan 1003

ISOTOP Scan 2734

IODINE Therapy 61

Immunoassays for Tumor Markers 35435

Immunochemistry & Flow cytometry Investigations

47662

Molecular Oncology Lab Investigations 2313

Cytogenetics & FISH Investigations 2833

Physiotherapy treatment 26303

Chemotherapeutic procedures 49605

Bone Marrow Transplants 33

ECG 22103

Stoma Clinic Patients 2831

Prosthetic Patients 1644

Stem Cell Lab Investigations 1442

FITIC Dept 20643

Pain and Palliative Care OPD 18690

Academic Activities: The department is a veryimportantsectionoftheInstitute.Itworkslargelyinthreedifferentareas.(a)CancerRegistryProgramme,(b) Cancer Epidemiology, and (c) Cancer ControlProgramme.


15

treatmentandtoundertakeepidemiologicalresearchthroughshorttermcasecontrolstudies.

Activities:Casefileabstractionandqualitychecksforthe year 2016 have been completed. Case fileabstractionandonlinedataentryworkfortheyear2017isinprogress.

(b) Cancer Epidemiology:The statisticians of thedepartment help doctors and researchers forstatisticalanalysisoftheirstudies.Itprovidesvariousdata to the doctors and researchers for theirdissertation/researchwork. Various statistical dataandreportsarealsoprovidedtotheAdministrationandGovernmentasandwhenrequired.Thisyear,atotalof54GCRIstaffrequestedfordataretrievaland8GCRIstaffwereassistedfortheirstatisticalanalysiswork.

(c) Cancer Control Programme: The departmentrunscancercontrolprogrammeasper theaimandobjectives laid down by National Cancer ControlProgramme, Government of India. The departmentorganizes various cancer awareness and detectioncamps forprimarypreventionof cancersbyhealtheducationespeciallyhazardsoftobaccoconsumptionand necessity of genital hygiene for prevention ofcervicalcancersandsecondarypreventioni.e.earlydetectionanddiagnosisofcancers.

HPV Vaccine Project: The Gujarat Cancer andResearchInstituteishavingacollaborativeresearchagreementwithInternationalAgencyforResearchonCancer(IARC),Lyon,Franceandworkingonaprojectnamed‘Implementationplanforextendedfollow-upof theparticipantsof IARC- IndianHPVvaccinationstudy to evaluate the effectiveness of one, two andthree doses of Quadrivalent HPV vaccine inpreventingcervicalneoplasias’.

Activities:Asprojectisextendedforfollow-upphase,follow-upactivities likecervicalcellcollection frommarriedparticipants,newconsenttobesignedbyallparticipants for extension study, to collect HC-2samplesfromparticipantswhohavereached25yrsofageandtoreportupdatedinformationbydoinghousetohousevisitandbyphonecallsarecontinued.AllthecervicalcellsampleshavebeentransferredtoRajivGandhiCenter forBiotechnologyandHC-2samples

(a) Cancer Registry Programme: Cancer registryplays amajor role in ensuring good quality cancerdatawhichcanbehelpfulincancercare,planningofhealthserviceandcancercontrolprogrammes.Thedepartment has been maintaining both hospitalbased cancer registry andpopulation based cancerregistry under the network of National CancerRegistry Programme (NCRP) - National Centre forDisease InformaticsandResearch (NCDIR) - IndianCouncilofMedicalResearch(ICMR),Bengaluru.

1. Rural Cancer Registry Ahmedabad DistrictProject:Ithasbeenfunctioningsincetheyear2004with the objective of assessing the magnitude andtypes of cancers in Ahmedabad rural areas and tocalculateestimateofcancerincidenceinAhmedabaddistrict.

Activities: Work of cancer data collection fromvarious sources for the year 2017 and 2018 is inprogress.

2.PopulationBasedCancerRegistryAhmedabadUrbanAgglomerationArea:Ithasbeenfunctioningsincetheyear2007withtheobjectiveofassessingthemagnitudeand typesofcancers inAhmedabadcityand to calculate estimate of cancer incidence inAhmedabadurbanarea.

Activities: Case files abstraction and outside datacollectionfortheyear2016iscompleted. Workfortheyear2017and2018isinprogress.

3. Hospital Based Cancer Registry: The hospitalbasedcancerregistryhasbeenfunctioningsincelongas per the standards and norms prescribed by theNationalCancerRegistryProgramme(NCRP)oftheIndian Council of Medical Research (ICMR). FromJanuary 2014, the National Cancer RegistryProgramme (NCRP) - National Centre for DiseaseInformaticsandResearch(NCDIR)-IndianCouncilofMedical Research (ICMR) sanctioned the project‘HospitalBasedCancerRegistryandPatternsofCareandSurvivalStudiesonCancerBreast,CancerCervixand Head and Neck Cancers’ at our Institute. Thebroadobjectivesofthisstudyistoassessqualityofhospitalcareandcancerservicesincoveredareaandtodescribelengthandqualityofsurvivalinrelationtoanatomicalsite,clinicalstageandaspectsoftypesof


16

visitors. Self-examination methods are emphasizedparticularly of oral cavity with need for quittingtobacco. Method of breast self-examination is alsopropagatedamongwomenvisitors.Awarenessaboutcanceriscreatedbydistributionofpublicitymateriallike pamphlets, posters, flip charts, exhibition andaudio-visualprogrammes.

A total of 22 education camps (Cancer Exhibition)wereorganizedduringApril2017toMarch2018.

are transferred to Pune as andwhen suggested byIARC. As per project amendment each site has torecruitmorecontrol.GCRIobtainedEthicsCommitteeapprovalforthisamendmentandaftertrainingfromIARCinAugust-2017,recruitmentofnewcontrolhasbeenstarted.

ArepresentativefromIARC(InternationalAgencyforResearch on Cancer) visited Ahmedabad site onJanuary 11-12, 2018 for training of the staff andsupervisionoftheactivity.Hehadalsovisitedthefieldactivitywithstaffandsuggestednecessarychanges.

MajorAchievement:Dr. Janmesh Shah,AssistantProfessor, awarded for the article titled ‘SWOCAnalysis of functioning of population based cancerregistryinAhmedabad’asbestarticleinthecategoryof best practices in cancer registries in CancerRegistry Abstract (CRAB) in XXXIII Annual ReviewMeeting of NCRP-NCDIR, ICMR at Kochi, Kerala onOctober2,2017.

JayeshSolanki,StatisticalAssistant,gotfirstrankinChess competition of Gandhinagar taluka andGandhinagar district in Khel Mahakumbh – 2017organizedbyGovernmentofGujarat.

TrainingOrganized:Onedaychemotherapytrainingof Physicians and Nurses from various districthospitalsfromGujaratwasconductedonJanuary13,2018 where 17 physicians and 40 Nurses weretrainedforchemotherapyadministrationatDistricthospitals. The similar training for Medical Officerswas conducted on February 23, 2018, where 15MedicalOfficersweretrainedforthesame.

Public Services Offered: As per the guidelines ofNationalCancerControlProgramme,thedepartmentis actively involved in cancer control activities andreachestothecommunitywhichaddressesprimarypreventionandearlydetectionofcancerwithinthecommunity.

Cancer Awareness Camps: The departmentorganizes cancer awareness camps with theobjectivesofpromotingawarenessabouttherisksofcommoncancersandtheircurabilityifdetectedearlyinthecommunity.Duringthesecamps,knowledgeoncancer like its causes and natural history, warningsigns and symptomsof cancer are explained to the

No. of Education Camps duringApril 2017 - March 2018

22

Number of Visitors 5218

Mobile Cancer Screening Van (Sanjeevani Rath)Cancer Detection Camps: A high tech cancerscreeningmobilevan(SanjeevaniRath)waslaunchedintheyear2009todetectthecancerpatientsintheirearlystagesoftheailment,especiallyinruralareas.Theexpertteamidentifiessuspectedcasesofpossiblecancerandifneeded,refersthemtoGCRIforfurtherevaluation. This mobile cancer screening van isequipped with advanced mammography machinewhichisveryusefultodetectbreastcancer-themostcommoncancerfoundinwomenintheirveryearlystage.

Atotalof48mobilecancerscreeningvan(SanjeevaniRath) camps were organized in various places ofGujarat state during April 2017 to March 2018.FollowingtableshowssummaryreportofSanjeevaniRathcampactivities.

No. of Sanjeevani Rath Camps during April 2017 - March 2018

48

Number %

Number of beneficiaries attended

2988 100

Head and Neck Examinations 2029 67.90

Breast Examinations 2003 67.03

Cervix Examinations 1503 50.30

Other Sites Examinations 51 1.71


17

No. of Sanjeevani Rath Camps during April 2017 - March 2018

48

Number %

Suspicious cases referred to GCRI

229 7.66

Head and Neck 128 4.28

Breast 47 1.57

Cervix 46 1.54

Other Sites 8 0.27

CancerDetectionCampswithoutSanjeevaniRath:Department involves in arrangement of cancerdetection camps at various places in Gujarat. Theobjectives of the detection camps are to detectcancersintheirearlystageespeciallyoralcancersinmen, and breast and cervical cancers in women.Suspicious caseswere referred to GCRI for furtherdiagnosticandtherapeuticcare.

Atotalof9cancerdetectioncampswereorganizedacrosstheGujaratstateduringApril2017toMarch2018.

Following table shows summary report of cancerdetectioncamps.

No. of Cancer detection Camps during April 2017 - March 2018

9

Number %


450 100





163.55


Breast 2 0.44

Cervix 4 0.89

Other Sites 2 0.44

SiddhpurCancerCareCentreToprovideanexcellentcancercaretothepeopleofNorth Gujarat, the Government of Gujarat set up aCancer Care Centre at Siddhpur, Patan district in2012.The radiationunit also startedsinceOctober

Cancer Detection Camps with Siddhpur Sanjeevani RathApril 2017 - March 2018

8

Number %


466 100





18 3.86


Breast 4 0.86

Cervix 10 2.15

SiddhpurCancerCareCentreOPD

No. of Siddhpur OPD during April 2017 - March 2018

22

Number %


18 100




Other sites Examinations 2 11.11


2 11.11


Breast 0 0.00

Cervix 0 0.00

Other sites 0 0.00

2013atSiddhpurCareCentre.EveryTuesdayalongst rdwith1 and3 Saturday GCRIsendsanexpertteam

which consist of Oncosurgeon, Gynecologist,RadiationOncologistandotherParamedicalstaffatSiddhpurCancerCentre.TheactivitiescarriedoutatSiddhpur Cancer Care Centre during April 2017 toMarch2018areasinfollowingtables.

SiddhpurSanjeevaniRathCamp


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November7, 2017 -NationalCancerAwarenessDay: November 7 is celebrated as National CancerAwareness Day across India. On the day, cancerrelatedexhibitionwassetandcancerawarenesstalksbyexpertswereheldnearCancerMahitiKendrainthemorning and in Chemotherapy waiting area in theafternoon. Patients and their relatives werecounseled ingroupsaswellaspersonal counselingwas also done if needed. Overall, more than 300peoplewereeducatedonthisCancerawarenessdaycelebration.

January 19, 2018 - Stress Buster Laughter YogaSession:LaughterYogasessionbyMs.ArchanaRao,Corporate Trainer from Bangalore was held onJanuary19,2018,wheremorethan100patientsandtheir relatives participated. The same session washeld on January 22, 2018 for hospital staff wheremore than 150 doctors, nurses and administrativestaffmembersparticipated.Theseprogrammeshadagreatimpactonrelivingstress.

February 4, 2018 - World Cancer Day: On theoccasionofWorldCancerDay,acancerawarenessanddetectioncampwasorganizedonFebruary3,2018atMehsana District Hospital. More than 300 womenwerebenefittedinthiscamp.Theoccasionwasgracedby Shri Nitinbhai Patel Deputy Chief Minister,Gujarat.

March 11, 2018 - International Women’s Daycelebration at Rajkot: On the occasion ofInternationalWomen’sDay,acancerawarenessanddetection camp was organized at Rajkot MedicalCollegeonMarch11, 2018.More than500womenparticipated in awareness programme. On thisoccasion,Smt. AnjalibenVijaybhai Rupani,wifeofHonourable Chief Minister of Gujarat remainedpresentalongwithotherdignitaries.

Day Celebration: Department is taking activeparticipation in celebration of different days likeWorldNoTobaccoDay,WorldCancerDay,NationalCancerAwarenessDay,KiteFlyingDay,Holi,Navratrietc.Theobjectivesofthesecelebrationsare:

I) To create awareness about cancer amongcommonpeople

ii) Tomotivatepeopleaboutscreeningofcommoncancers(Oral,BreastandCervix)

iii) Tosensitizepeopleagainsttobaccohazards.

FollowingarethereportsofvariousdaycelebrationsorganizedduringApril2017toMarch2018.

May31,2017-WorldNoTobaccoDay:InGujaratCancer & Research Institute, around 60% of malecancersaretobaccorelatedcancers.Beingapremierinstitutetofightagainstcancer,TheGujaratCancer&ResearchInstituteisalsoboundtocelebrateWorldNoTobaccoDay;inwhichvariouseventswereorganized.

Cancerawarenessactivityinslums:Activitieslikeawarenesstalks,personalcounseling,skit,pamphletdistribution, exhibition and referral of the needypatientstoGCRIwascarriedoutthroughouttheweek.

Followingslumareaswerecovered.Date CommunityAreaMay29SoniriyaBlock1,BehindBapunagarCityGoldMay30AsarwaMay31NewParmeshwarParknaChhapraJune1 Kalapinagar–1June2 Kalapinagar-2June3 Opp.ShajanandCollege,Ambawadi

AnencouragingmoviewasshownbyAYUSHNGO,inalltheabovementionedareasintheeveningwhichmade public aware about ill effects of tobacco andmotivatedthemtoquittobacco.

19


ClinicalServices:Thedepartmentoffersservicesinfollowing areas: (1) Well Woman Clinic for earlydetection of gynecological malignancies, especiallyPap’s smears for cervical cancer. (2) ColposcopyClinic:TheColposcopyclinicisrunwiththehelpofastate-of-the-art Zeiss colposcopewith teaching aid.Colposcopies are performed and Colposcopicdirectedbiopsies are taken. Total 89Colposcopieswere performed. (3) Conservative management ofpre-invasivecervicalcancerbyLargeLoopExcisionoftheTransformationZone(LLETZ).Itisoneofthefirst

centersinIndiatohaveestablishedfacilitiesofLLETZ,whichisconsideredthebestmethodforthediagnosisandtreatmentofpremalignantcervicallesions.(4)ItisReferralCenterfordiagnosisandmanagementofallp rema l i gnant and invas ive gyneco log i ca lmalignancies such as cervical cancer, endometrialcancer, trophoblastic disease, ovarian tumors andvulvar carcinoma. Hysteroscopy: Institiute has‘Strykerhysteroscope’withmonitorfordiagnosisandhysteroscopicguidedbiopsy.

Professor, Head & Chief of Unit – I: Dr. Shilpa PatelProfessor Practicing & Chief of Unit – II: Dr. Ava Desai

Professor Practicing & Chief of Unit – III: Dr. Meeta MankadProfessor & Chief of Unit – IV: Dr. Pariseema Dave

Associate Professors: Dr. Ruchi Arora, Dr. Bijal Patel, Dr. Chetana ParekhAssistant Professor: Dr. Anusha Kamath

C. Gynaecological Oncology


OPD patientNew cases : 4134Old cases :11250

Pap smear

Pap Smear : 1649LBC : 2185Camp : 2087Total : 5921


Cervical Biopsy 1598

Vulval Biopsy 90

Endometrial Aspiration 275

Colposcopy 89


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AcademicActivities:Thereare2M.Chstudents,4MSStudents(Ob.&Gyn.Thirdyear–examgoing)and8fellows. A total of 178 lectureswere taken in thedepartmentforteachingandacademicpurpose.Thedepartmentofferedtrainingtoobserversandjuniorresidents.

Major Achievements: The department received‘VimalabenAgraval’rotatingtrophyformaximumnumberofpublicationsforyear2017.

Dr.ShilpaPatel, Professor,attendedtrainingcourseformastertrainersasapartofHPVVaccineproject,ina workshop on ‘cervical cancer prevention, earlydetectionandmanagement’organizedby IARCandChittranjan Das National Cancer Institute held atKolkata,December27-29,2017.

Dr.AvaDesai, Professor,receivedDr.ShirishShethROGSORATIONatROGS2018atRajkotonJanuary28,2018.

Dr. Pariseema Dave, Professor, has served asAssociate Editor of Indian Journal of GynecologicOncology. She has also served as Chief Editor of‘GujaratCancerSocietyResearchJournal’.

Dr.BijalPatel,AssociateProfessor,attendedtrainingcourseformastertrainersasapartofaproject,inaworkshop on ‘cervical cancer prevention, earlydetectionandmanagement’organizedby IARCandChittranjan Das National Cancer Institute held atKolkata,December27-29,2017.

Surgeries


Gyn 1 Gyn2 Gyn3 Gyn4

Radical Hysterectomy and BPLND 6 4 10 11

Laparotomy for Ovarian Tumors 109 87 61 80

Staging Laparotomy for Endometrial Cancer 37 18 19 19

Radical Vulvectomy and Groin Dissection 8 4 7 6

Other Major Surgeries 10 9 15 29

Total Major Surgeries: 549

Total Minor Surgical Procedures: 192

Dr.GarimaPandey, Resident,receivedfirstprizeinposter presentation at Urogynaec Conference,Ahmedabad,onJanuary12,2018.

Public Services: The gynecological departmentconducts a well woman clinic daily at the hospitalespecially for early detection of pre-invasive andinvasive cervical malignancy. Pap’s smears andColposcopyareperformedfreeofchargeandbiopsiesaretakenatnominalcharge.

Camp Activities: Camps for early detection areconducted at various places in Gujarat includingorganizationssuchasBSF,AirForce,ArmedForces,ECHSPolyclinicAirport,CostGuard,Gandhinagar,etcand distant places like Surendranagar, Nadiad,Porbandar, Rajkot etc. Total 95 camps organized atvariousplacesinthisyear.TotalPapsmeartakenincampsis2087.TheDepartmentalsoparticipatesinGCRI academic meetings and Tumor Boarddiscussion.

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ClinicalServices: ThedepartmentofMedicalandPaediatricOncologyprovidescomprehensivecareforadultandpaediatricpatientswithsolidtumoursandhaemato log i ca l ma l i gnanc ies . Every yearapproximately 14000 new and refer adult patientsare registered under medical department andapproximately 55000 patients receive curative orpalliativechemotherapyeitherindoor(127beds)orin day care center (46 beds). About 15000 minorproceduresareperformedannually.

TheIndumatiKinariwalaPaediatricOncologyCenterwasestablishedin1992anditwasfirstofit'skindinIndiatogivecaretopediatricpatientsinanambientenvironment.NumberofcancerpatientsregisteringinPaediatricCenterperyearisapproximately1223.The center alsohas specialOPD for care of centrallines(PICCandHickmancatheter).

The Department of Medical Oncology rendersservicestoAdultandPaediatricpatients.

D. Medical and Paediatric Oncology

Professor Emeritus: Dr. Pankaj Shah, Dr. Shilin ShuklaProfessor & Chief of Medical Oncology: Dr. Asha Anand,

Professor & Chief of Medical Oncology Unit I: Dr. Harsha Panchal Professor & Chief of Medical Oncology Unit II: Dr. Apurva Patel

Associate Professor & Chief of Medical Oncology Unit III: Dr. Sonia ParikhAssociate Professor In charge of BMT (Part time practicing): Dr. Sandip Shah

Junior Lecturers - Pediatrician: Dr. Nitin Joshi, Dr. Chinmay Doctor Psychiatrist : Dr. Rohan Kusumgar

Gastroenterologists : Dr. Mukund, Dr. Kunal Bharadwaj Medical Officers - BMT : Dr. Kamlesh Shah, Dr. Kinnari Patel

Clinical Assistants : Dr. Kiran Prajapati, Dr. Bhadresh Shashtri, Dr. Ila Patel


22

Details of Work Done Adult patients Pediatric patients Total

Clinical CasesNew + ReferOld

807861046670320

13251121812033

940371168482353

Procedures: TotalBone Marrow AspirationOthers(Intrathecal, Pleural & Ascitic Fluid Aspiration)

1325258447408

439513763019

176477220

10427

Chemotherapy: TotalDay Care Chemo – Room No. 7Day Care Chemo Special WardDay Care Chemo Male Medical WardDay Care Chemo Female Medical Ward(including pediatric chemo)

50344473141678231

1121

5277 55621

BMT: TotalAutologus(Multiple Myeloma 3, Hodgkin’s Disease 9)AllogenicAcute Myeloid Leukemia 2, Aplastic Anaemia 2, Thallesemia Major 10, Faconi’s anaemia 1

2812

16

IndoorBeds:Adult76,Paediatric25,Leukemia22,BMT4,MedicalICU3+2(Total132Beds)

Academic Activities:We run daily afternoonacademicsessionforDMstudentswhichincludecasepresentation,journalclubandotheroncologytopicsunderguidanceoffaculty.RegularlyconductCMEononcology for under graduate and post graduatestudentsofBJMedicalCollege.Invitefacultyforguestlecturesandtelecastoflectureseriesonwebcast.

TheDepartment runsDMMedicalOncologySuper-specialtyCourseattachedtoB.J.MedicalCollegeandGujaratUniversity.Thecoursestarted in1991withintakeof4studentsperyearwhichhasincreasedto10studentsperyearsince2010.

Thereare10FirstYearDMResidents,10SecondYearDM Residents and 10 Third Year Residents. Theyac t ive ly par t i c ipa te in Outdoor serv i ces ,Chemotherapy planning, Day care procedures,Chemotherapy administration, Indoor Services,Emergency services, documentation – data entry,Casediscussions,presentationofclinicaltopicsandpublicationsunderguidanceandsupervisionof theTeachers and Faculty. They prepare Dissertations

under guidance of their Teachers. They alsoparticipate in Clinical Trials, BMT services andE d u c a t i o n p r o g r am s f o r t h e R o t a t o r s ,Undergraduates andNew Comers. The departmentprovidedchemotherapytrainingprogrammeforM.D.doctorsfromall33districtsacrossGujaratStateonJanuary12,2018andFebruary23,2018.

Research:ThedepartmenthasundertakenresearchprojectssupportedbyGCS,ICMR,andPharmaceuticalcompanies.

MajorAchievements:Dr.MurtazaBohra,Resident,wonfirstprizeinbreastquizatGujaratBreastMeetheldonMarch10-11,2018atAhmedabad.Healsowon prize for case presentation in COPE 2018 atChennai.

Dr.NahushTahiliani,Resident,wonsecondprizeinbreastquizatGujaratBreastMeetheldonMarch10-11,2018atAhmedabad.

Dr. Honey Parekh, Dr. Vijay Bhargava and Dr.AkashPatel, Residents,qualifiedforzonalroundofISMPOTYSA (Torrents Young Scholar Achiever) onFebruary5,2018atMumbai. Individually got thirdprizeforquizandjudgedaswinnertoparticipatein


23

NewHorizonsinCancerBiologyheldon March15-16,2018,Ahmedabad.

Dr. Akshay Shivchand, Resident, received GoldMedal for T. B. Patel Young Scientist AwardcompetitionfororalpresentationduringHospitalDayCelebrationonFebruary3,2018.

TelemedicineCMEorganised:

Name of Speaker Title of Presentation Name of CME Date & Place

Dr. Suyog JainDr. Hemangini Chandrashekhar

Recent updates in ALK Positive NSCLC

November 16, 2017

Dr. H V BimbaIMPACT Module -I Immuno Oncology Concept and targets and discussion

BMS CMEJanuary 3, 2018

Dr. Kumar PrabhashManagement of Thyroid cancer

CME (Cipla) February 23, 2018

Dr. Richard FinnShifting paradigms in managing HR+HER2- MBC with Palbociclib

CME (Pfizer)March 24, 2018

Dr. Tony Mok Crizotinib : In management of ROS1 NSCLC

CME (Pfizer)March 24, 2018

ELCC,Geneva,SwitzerlandonApril11,2018inLungCancerConsortiumAsia,2017on December15-17,2017atMumbai.

Dr.VarunNagori,Resident,qualifiedforzonalroundofISMPOTYSA(TorrentsYoungScholarAchiever)onFebruary5,2018atMumbai.Healsogotsecondprizefor poster presentation in National conference on

24


ClinicalServices:Inpatientservice:Departmentofpalliativemedicinehasbeenallotted10dedicatedbedsand20sharedinpatientbeds.BedOccupancyRate(BOR)is80%.In-patients fromother specialty are referred tous forpain and symptom control. On rounds,wemanagetheirsymptomsandpsychosocialissueswiththehelpofcounselorasneeded.

Outpatient service:Wesee about80-120patientsperday inourOPD.Weprovidepainandsymptommanagement. Counseling of all patients is done forpsychosoc ia l and sp i r i tua l i s sues . We docommunicationwithpatientsforbreakingbadnews,issuesofcollusion,counselingfordiseasestatusandprognosis,nursingcare,dietaryadvice,oralhygiene,etc.

Homecareservice:Wedo2-3home-visitsperdayfor5daysaweek, forhomeboundcancerpatientsresidingwithincityofAhmedabadandGandhinagar.

Hospice service: We visit our hospice centrefrequently as per requirement, to see admittedpatients who are terminally ill, requiring palliativecareandfortrainingofparamedicalstaffs.Thereare16inpatient’sbedsatHospicecentre.BORofHospiceis80%.

Professor & Head: Dr. Priti SanghaviAssociate Professor: Dr. Bhavna Patel Assistant Professor: Dr. Shrenik Ostwal

Medical Officer: Dr. Richa Singh

E. Palliative Medicine


OPD: New Patients 6394

OPD: Follow up Patients 12460

Interventions done for Pain Management (Spheno Palatine Ganglion Block, Celiac Plexus Block, Superior Hypogastric Plexus Block, Epidural, Ganglion Impar Block)

117

Indoor Patients attended 997

Other Interventions(PEG, Ryle’s Tube)

240

Home Care 114

Admissions to Hospice, Community Oncology Centre, Vasna

225


25

September 4 to October 14

Doctors trained 01

Nurses trained04

November 6 to December 16

Doctors trained 02

Nurses trained 04

AcademicActivities:Department isrecognized foranEightweeksdistancelearningcourse‘EssentialsofPalliativeCare’.Training forPartA–wasorganizedfrom November 1 to December 31, 2017. Total 24candidateshavereceivedthetraining.Dr.VivekNayakfrom Cipla Palliative Care Centre from Pune wasNationalfacultyforthetraining.

Department is recognized forSixweeks ‘HandsOn’Certificate course in Pain & Palliative Medicine,CCPPM&CCPN,fordoctorsandnurses.ThecourseissupportedbyIndo-AmericanCancerAssociationandPalliumIndia.Coursetrainingwasheldtwicein2017,asfollows

A training workshop on Palliative Care had beenorganizedfromDecember11-30,December2017bytheStatePalliativeCareCell,GujaratincollaborationwithGujaratCancerResearchInstitute,AhmedabadandCommunityOncologyCentre,Ahmedabad.The3-days trainingwascomprisedof lectures, roleplays,OPDrounds,wardroundsandcancerexhibitionvisit.There were total 22 participants comprised ofAnaesthetists, Physicians and Staff nurses fromGandhinagar, Jamnagar, Surendranagar, Junagadh,RajkotandPorbandar.

Workshop Organized: A Workshop on ‘OpioidsavailabilityinGujarat’wasorganizedatGCRIonApril11,2017,incollaborationwithGovernment(CL&SC)Spine Institute; Civil Hospital, Ahmedabad; ShreeKrishna Hospital, Karamsad; and Pallium India,Trivandrum, Kerala. Total 27 candidates (doctors,nurses, pharmacists and chemists of Gujarat) tookpart in this workshop. On the same day in theafternoon hours a meeting with the HealthCommissioner was arranged to discuss issues on‘Opioidsavailability inGujarat’,under leadershipofDr. Geeta Joshi, CEO Community Oncology Centre,VasnaandDr.NandiniVelathfromWHOcollaboratingcentre.

PublicServices:Dr.PritiSanghavi,Dr.PritiPoriyaandDr.RichaSinghtookactivepartineducationandtraining of nursing students, medical students,students from Entrepreneur Development of India(EDI)&BMInstitute,anddoctors,onpalliativecareandpsychologicalissuesincancerpatients.WorldHospice&PalliativeCareDaywascelebratedatCommunity Oncology Center & Hospice, Vasna,AhmedabadtocreateawarenessaboutPalliativeCare&Hospiceamongstpatientsandcommunity. Itwasjoint efforts of Gujarat Cancer Society, GCRI &Karunalay, a Hospice run by Shyam OncologyFoundation. Dr.N.B.Dholakia,AdditionalDirector(Medical Services) Commissionerate of Health,MedicalServicesandMedicalEducation,State NCDCellwaschiefguestofthefunction. Patientssharedtheirexperiencewiththediseaseanditstreatment.Role play regarding awareness on palliative careservices and hospice was performed by nursingstudents ofManikaka Topiwala institute of nursingschool,Changa.

26


ClinicalServices:TheDepartmentofPathologyhasbeenupgradedwithvariousequipmentsforClinicalPathologicalAnalysisReportwork.ItincludesvariousserviceslikeHistopathology,Cytology,Haematology,Biochemistry, Blood Bank, Paediatric OncologyHaematology, Vasna Hospice Haematology,ImmunohistochemistryandMicrobiology.PathologyDepartmentistheheartofourHospital;centraltoanycancer management is tissue diagnosis. Metabolic

F. Pathology

Head & Associate Professor: Dr. Dhaval Jetly Associate Professors: Dr. Priti Trivedi, Dr. Trupti Patel

Assistant Professors: Dr. Biren Parikh, Dr. Beena Brahmbhatt, Dr. Amisha Gami, Dr. Majal Shah,Dr. Jyoti Sawhney, Dr. Ashini Shah

Junior Lecturers: Dr. Vibha Vyas, Dr. Jhanavi Gandhi, Dr. Nainesh Menat

profile and Haematological alteration in a cancerpatientplays apivotal role inoverall outcome.Thedepar tment i s we l l equ ipped wi th h igh lysophisticatedmicroscopesattachedwithcameraandcomputer for teaching and record purposes. Itprovides services of histopathological diagnosis,frozen section diagnosis, haematological tests,biochemicaltestsetc.Thedepartmenthasaninternetfacilityfortele-pathology.

F1. Histopathology, Cytology, Biochemistry, Haematology


27


CBC+DC 148837

DC Manually 61603

ESR 6215

Urine Examination 6590

BSBP 6590

PS/INDICES 1966

LE CELL 3

Sickle Test 12

Sucrose Lysis 92

Osmotic Fragility 4

RC 2658

CSF Examination 358

Pleural Fluid 259

Ascitic Fluid 200

Other Fluid 13


PT 31879

APTT TEST 31445

Plasma Fibrinogen 575

FDP 113

G6PD 89

FHB 6

Stool Examination 590

Bone Marrow Aspiration Bx 4191

Bone Biopsy 1996

Pas Stain 924

Sudan Stain 952

Iron Stain 165

Lapa Stain 1

D-Dimer 156

Total 308482

Central Laboratory - Biochemistry


Blood Sugar 37414

S. Acetone 90

BUN 58415

S.Creatinine 88913

S.Electrolytes 63065

S.Alk. Phosphatase 43818

S.G.O.T 61335

S.G.P.T 61369

S.Total Protein 47357

S.Albumin 47210

S.Bilirubin Total 61963

S.Bilirubin Direct 61963

S.Uric Acid 13808

S.Calcium 19995

S.Megnesium 11627

S.Phosphorus 10223

S.Lactate Dehydrogenase (LDH) 18856

S.Amylase 947

S.Lipase 276


S.Acid Phosphatase 2

S.Iron ( Fe ) 393

S.Tibc ( Ibct ) 386

Fluids 789

24 Hrs. Urinary Protein Estimation 12

S.Cholesterol 1256

Triglyceride 1225

HDLD 1104

Methotrexate (MTX) 1703

Cyclosporin (Cyclo) 416

S.Protein Electrophoresis 789

S.Immunofixation 528

S.Free Light Chain Kappa 619

S.Free Light Chain Lamda 615

S.IgG 367

S.IgA 352

S.IgM 357

TOTAL 719557

Central Laboratory - Haematology


28


Alpha Fetoprotein (AFP) 2458

Carcinoembryogenic Antigen (CEA) 5982

CA-125 4393

Prostate Specific Antigen (PSA) 1624

CA-19-9 2682

CA-15.3 206

Human Chronic Gonadotropin(B- HCG)

1965

Follicle Stimulating Hormone (FSH) 541

Leutinizing Hormone (LH) 341

Prolactin (PRL) 280

Estradiol ( E2) 465

Testosterone (T) 196

Cortisol 208

Growth Hormones (GH) 130

Parathyroid Hormone (PTH) 147

Total T3 2382

Total T4 2383

Thyroid Stimulating Hormone (TSH) 5043

Free T3 (FT3) 688

Free T4 (FT4) 1085

Thyroglobulin (TG) 482

Anti-Thyroid Peroxidase Antibodies (ANTI-TPO)

178

Human Epididymal Protein 4 (HE4) 901

HBA1C 398

S. Ferritin 151

S. Folate 47

Vitamin B-12 560

Vitamin D Total 490

TOTAL 36406

Histopathology Laboratory


Total number of biopsies 20158

Total sections of biopsies 24241

Total operative specimens 4448

Number of slides 75245

Total biopsies and specimens for review

6809

Total number of slides(review specimen and biopsies)

19047

Frozen Specimens 1521

Number of Slides 8486

Total number of biopsies and specimens

24606

Total 142019

Cytology Laboratory


Pap Smear 3898

FNAC 4617

Fluid Cytology + Cyto Block 4264

Outside / Camp Pap Smears 1606

Total 14385

Endocrinology - Immuno Assay Tests

AcademicActivities:Practical/Theorytrainingtopost-graduatestudents/doctorsforM.D.degree,DCPand observers, fellows and rotators come fromvariouslocalhospitalsandfromotherstatesaswellasstudents from Medical Laboratory TechnologyCourse. Maintenance of patient’s record andstatisticaldataanalysisisdone.

MajorAchievements:DrRitwikaDabral,Residentreceived second prize for poster presentation atAMCON 2018 held at VS Hospital Ahmedabad onMarch18,2018.

Ms.RachanaShah,Sr.LabTechnician,HematologyreceivedEmployeeofMonthinFebruary2018.

29


F2. Blood Bank

Assistant Proessor & Incharge: Dr. Rima Kusumgar Blood Transfusion Officer: Dr. Dhara Ardeshana


Donor Area

Blood Tapping 14589

Replacement Donors 6313

Voluntary Donors 6748

Single Donor Platelet 1528

Outdoor Camps 78

Transfusion

Whole Blood 836


PCV (Packed Red Cell) 14278

PC (Platelet Concentrate) 16550

FFP (Fresh Frozen Plasma) + Stored Plasma

8653

Single Donor Platelet 1528

Autologus & Allogenic B.M. Collection 45

Therapeutic Leukocytapheresis 1

Clinical Services: Blood Bank collects blood fromvoluntary and replacement donors in the Hospitaland outside Hospital by arranging outdoor blooddonationcamps,collectingmorethan15,000BloodBags per year. Blood grouping of the donors andpatientsisdoneandbloodissuppliedtothepatientsafter cross-matching with latest technology. TheBlood Bank is well equipped with all the modernequipmentslikefullyautomatedbloodgroupingandantibody screenig machine, Column Agglutination

[Gel-technology], Electro chemiluminiscenceimmunoassay for testingof transfusion transmitteddisease testing, Apheresis machines, BloodIrradiator, Fully Automatic Component SeperationMachinelike:Opti-press,G5andforleukoreductionofcomponents which prevents the blood transfusionreactions. In Apheresis procedures routinelyplateletpheresis, therapeutic Apheresis andperipheralbloodstemcellcollectionarebeingdone.


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Academic Activities:MD [Transfusion Medicine]Students from the B. J. Medical College as well asDoctors and Technicians from all over Gujarat arecoming for training of component separation andapheresisprocedures.

Major Achievements: Dr. Rima Kusumgar ,Assistant Professor invited as a faculty for varioustraining programmes organized by NACO. She wasinvitedaspanelistintheconference‘ForumofRoche& Transfusion Specialist – FORTE’ at Bengaluru inJune, 2017. Shewas invited as speaker at ‘CME onTr a n s f u s i o n u p d a t e s ’, B a s uva n t a r a k amIndoAmerican Cancer Hospital, Hyderabad onSeptember9,2017;‘CMEonTTI’,VSGH,onFebruary10,2018and‘CMEonImmunohematologybyISBTI,GujaratChapteratAhmedabadinApril2017.

PublicServices:BloodBankhasorganized78blooddonationcamps.

Tests For Patients For Donors

Blood GroupsAutomationManual

2673211800

1306125600

Coomb’s Test (IAT + DAT)

910+910

Du Test for weak antigen

1021

Cross Match 19063

HbsAg 14589

HIV 14589

HCV 14589

VDRL 14589

Malarial Parasaites

14589

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Professor & Head: Dr. Parijat GoswamiAssistant Professor: Dr. Foram Patel

Junior Scientific Officer: Dr. Nilima Desai

Clinical Services: The Head of the departmentmanagesmainlytheClinicalLaboratoryservicesfordiagnosisofinfectionsincancerpatients.TheotherNon-Clinical importantaspectsofhospitalsarealsomanaged like Infection Control Activities, FICTC(Facility Integrated Counseling and Testing Center)Activities, Biomedical Waste Management (BMW)Activities.

The Department of Microbiology has grown from192-240samplesperyearin1989to106889samplescurrentlyandnowitisstrengthenedbytheadvancedstateofartinstruments.ThisDepartmentlooksafterthe Diagnosis of Infectious diseases caused by

bacteria,fungi,viralinfectionsbyserodiagnosis,andmolecular diagnosis of the infection in cancerpatients.

The new development in the department isDiagnostic Molecular Microbiology and it helps toknow complication occurring in the patients bydifferentinfectiousagentswhicharenotdiagnosedbyconventionalmethods.ThistechniquecalledRT-PCRgives the results of quantitation of the infectiousagents (number of copies) present in the patientssystem which complicates and deteriorates thetreatment.

F3. Microbiology

Thefollowingisthedifferentsamplesreceivedinthedepartment:


Culture & Antibiotic Susceptibility

Aerobic 3154

Anaerobic 1

Fungal 1338

Blood (aerobic) 2457

Total 6950


Microscopy Sp. Gram Stain 171

H. pylori 22

Z. N. Stain 312

Pneumocystis Carinii Stain

11


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Antibiograms: Periodically antibiograms are takenoutandissuedtoclinicianforappropriatetreatmentofinfections.

History of activities of Infection control: Theconcept of Infection prevention and control wasbroughttoGCRIin1992.LateDrD.B.BalarwastheHeadandDr.ParijatN.Goswami,wastheSecretary.


Microscopy Stool for Ova/Cyst 25

Wet preparation 146

Total 687

Serology Widal Test 175

C-reactive Protein 235

CMV IgG test 73

CMV IgM test 75

HBeAg /anti HBeAg 464

S. HIV 31779

S. HBsAg 32043

S. HCV 31643

B2 Micro globulin 208

anti HbS 173

Hbc IgM 380

S.Procalcitonin 992

Dengue test 468

Malaria 420

Chikungunya 18

Total 99146

Infection Surveillance Surveillance in Critical Areas (No. of times)

106

Total 106889

Dr Parijat Goswami Professor & Head, Microbiology

Infections Prevention and Control activities in GCRI

Infection Control Activities - Staff

Mrs. Indira Sunil Macwan Infection Control Nurse

Mr. Arpit Christian Infection Control Nurse

Non-ClinicalServices

ThethenDirector,Dr.D.D.PatelwastheChairmanoftheHICC(HospitalInfectioncontrolcommittee).AllHeadsoftheclinicaldepartmentswerethemembersof the committee.A subcommitteewas formed foractiveworkingandproblemsolvingintheinstituteonday to day basis,which is calledHospital InfectionControlTeam(HICT).OngoinglythestructureofthecommitteehasbeenchangingwiththenewcomingDirectors. Other Directors who chaired thefunctioningofInfectioncontrolandpreventionareDr.PankajShah,Dr.ShilinShuklaandDr.RakeshVyas.

Training: Total number of training programsconductedwas24atdifferentoccasionsinthecurrentyearfornursingstaffandclassIVemployees.Topicscovered were; Standard precautions, needle stickinjury and management , Bio-Medical wastemanagement, Hand hygiene, sterilization anddisinfection,etc.

Otheractivities1. MonitoringpracticesdonebyCSSD&TSSU:Thechecks on surgical instruments cleaning, washingpackingandsterilizationprocessaredoneeveryday.Sterilization controls are done by using ProcessIntegrator(PI)tomakesuresterilizationwithinthepacks/dressingtraysanddrums,Chemicalindicatorsare used to check the set time, pressure andtemperatureandBiologicalIndicator(BI)areusedtoensure spores as well as organism kill for sterilitycheck.2. Forcriticalareas likeOT,DSU,BMT,NICU,SICU,Post-op wards are frequently fumigated andsurveillancedoneasperrequest.


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Biomedical Waste Management (BMW) Activities - Staff

Mrs. Leena BhattStaff Nurse in-charge for monitoring waste management

Mr. Akshay Dave Sanitary Inspector

Staff of Raj deep contractor

In 2008 when rules and guidelines for biomedicalwaste had become stringent, the then Director, Dr.Pankaj Shah, had taken keen interest and activitiesrelated to this were formed and followed. Thecommitteeformonitoringactivitieswasformedandtherulesandregulationsarestrictly followedsincethen. Daily rounds are taken to check propersegregationofwaste.Therearemeetingsandtrainingwhich happen throughout the year for smoothrunningoftheactivitiesofwastemanagement.ThenewbiomedicalwastemanagementruleshavebeengivenbyandareasperstandardsofNABHandGPCBwhich are in the process of been followed by ourinstitute.

HIVcounsellingandtestingserviceswerestartedinGCRIinMarch2015.It isarequirementofahealthcare facility tohaveone integrated counsellingandtestingcentreforallgroupsofpeople.ThereispreandposttestingcounselingforHIVtestingbecausewearetesting HIV for all our admitted patients (medical,surgicalandgynaecpatients). FICTC-GCRI is run by qualified and trainednursing staff that provides HIV counselling.Laboratory technician is also trained under theregionalNACOcentreofCivilhospital.ThisFICTCsissupportedbytheNationalAIDSControlOrganization(NACO).

Counsellors:ThecounsellorisappointedfromGCRIstaffandhe/sheistrainedfromICTCCenterofNACO,CivilHospital.Theyfocusonthefollowing:• Pre-testcounselling• IfHIVtestispositive,Posttestcounsellingofthe

patient• SendHIVpositivepatienttocivilhospitalforART

treatment• Maintainrecordsofallcounsellingdone• CommunicatewithCivilhospitalICTCcenter• BeavailableintheFICTCasperthespecifiedtimings• Ensurethatstrictconfidentialityismaintained• EnsurethatallIECmaterialssuchasposters,etc.

aredisplayedprominentlyintheFICTC• ReportonaregularbasistoHeadofFICTCcenter

ofGCRI

Summaryofactivitiesin2017-2018:InaYear,April2017toMarch2018atotalof20426patientswerecounseled with an average monthly Pre-Testcounselingof1800patients.Posttestcounselingwasdone for1.41%(289/20426)HIVpositivepatients.Therewasmalepreponderance (2:1,M:F)amongstHIVpositivepatients.Routeoftransmissionwasnot

Quality Indicators of Health Care AssociatedInfections(April2017-March2018)Overalltheinfectionratedroppeddownineachofthecategory of infection (Chart: HAI GCRI-2016-17 &2017-18). They were classified into Device related(CA-UTI,CA-BSI&VAP) and post-operative surgicalsiteinfections(SSI).InSSItherewasriseofinfectionby1.3%.Allthedatawerewithintherangeascomparedwiththedataoftheotherhealthcareinstitutes.Averycautiousvigilanceisbeenkeptonthequalityindicators of infections occurring in hospital likeVentilator associated pneumonias, Catheterassociated urinary tract infections, central lineassociatedbloodstreaminfectionsandsurgicalsiteinfections. It is clear from the data that stringentmeasures are taken to control infections, startingfromhandhygienetosterilizationanddisinfectioninthehospital.

3. Biomedicalwastemanagement

4. FICTC (Facility Integrated Counseling andTestingCenter)

Active staff involved

Mrs. Mita Suthar Counselor

Mr. Amit Makwana Counselor


34

NewTestsintroducedinMicrobiologyThe department procured a New machine called“Rotor Gene Q” for performing Real Time PCR forrapid diagnosis of the infectious agent causingcomplications as well as interfering with thetreatmentofthepatients.

ScopeofApplicationsofRT-PCR1. BMTPatientscomplicatedwithviralinfections.2. Screening for the presence/ absence or

prognosticationofcomplicatingviruses3. Viral infections complicating Haematological

cancers4. SupportforGastro-Intestinaldiseases5. Pre-Inductionscreening

RT-PCR Quantitative Tests are done for thefollowingviruses1. Cytomegaloviruses2. EpsteinBarViruses3. HerpesSimplexviruse4. HepatitisBViruses5. HepatitisCViruses

knownin61responders.115patientswereawareofsexualtransmission.31patientshadgiventhehistoryuseof re-usableneedles and29patientshadgivenhistory of blood transfusion. There were only 2patients who had given history of pre-nataltransmission. Most of the patients were from Gujarat (210),fromRajasthan(26)andfromMadhyaPradesh(24). Itwasalsoobservedthat47patientswerenewlydiagnosed forHIV infection, and187patientswerealreadyHIVPositivefromoutsideoreitherwereonAntiRetroviralTherapy.Therewere28patientswhounderwentrepeatedHIVtesting.Around234patientswere referred to ART Centre for counseling andtreatmentasperNACOprotocol.

Major Achievements: Dr. Parijat Goswami ,ProfessorandHead,receivedDr.UttamramB.VyasOration - Life time Achievement Award in theprofession of Microbiology for the year 2017. TheOrationwasdeliveredontheDecember16,2017,atthe Gujarat Association of Pathologists andMicrobiologists,organizedbytheRajkotAssociationofPathologistsandMicrobiologists,Rajkot.

Public Services: Infection Control Surveillance forSadvicharParivarHospital.

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ClinicalServices:Thedepartmentisfullyequippedwith 500 MA Siemens X-ray units, OPG machine-Siemens,SiemensIITVguidanceFluroscopymachine,Mammomat-Mammographymachine,SiemensG-50-DopplerMachine,TwoDopplermachinesofGE–P5,FujiCRsystem,Medsynapse-Departmentnetworkinganddatastoragesystem,USG-HighendSiemensUSGS3000,PortableGEUltrasonography,CTSomatom16Slice,Emotion6sliceCTscanand0.4TeslaHitachiApertoMRIMachine.

The Department of Radio diagnosis conductsradiological part of health checkup programme atC O C v a s n a . X - r a y, m ammo g r a p h y a n dultrasonographyareperformedatcheaperrates,forearly detection of pathology. Department alsosupportradiologicalpartofvariouscampsandhealthcheckup programme managed by institute. Thedepartment also participates in GCRI academicmeetings.

Professor & Incharge: Dr. Hitesh RajpuraProfessor: Dr. Saumil Desai

Associate Professor: Dr. Himanshu SoniAssistant Professors: Dr. Drashty Chauhan, Dr. Sanjeev Patel, Dr. Sapna Patel

Junior Lecturers: Dr. Tejal Shah, Dr. Deepika YadavVisiting Interventional Radiologist: Dr. Ajay Upadhyay (2days / week)

Visiting Neuro Interventional Radiologist: Dr. Milan Jolapara

G. Radio-Diagnosis

G1. Imaging Services


X-RAY (PLATES) 59179

IVP 5

USG 20372


Portable USG 440

CT scan 27278

Mammography 6153


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Barium Swallow 328

Barium Enema 1

USG Guided Biopsy 2580

CT Guided Biopsy 894

Pleural Tapping 354

Ascites Tapping 152

MRI 2972

Color Doppler 767

PTBD 100

OPG 2816

RFA 12


CT Block 4

CT Angio 45

SRS 3

CT RT Planning 1828

Loopogram 6

Gastrograffin study 4

Needle localization 3

CT STB 63

Nephrostomogram 20

PTBD Dressing & Checking 93

Academic: Regular lectures, case presentation,journal presentation, interesting case discussionconductedforresidentdoctorsinthedepartment.

Research: We are maintaining patient’s data andimages.Wearegeneratingstatisticaldataandstudieswhich are published in national and internationalconferences.

CMEOrganized:OnedayCMEonHead,Face&NeckOncologyWorkshopisorganizedbytheDepartementon December 10, 2017 at Ahmedabad MedicalAssociation hall. Approximately 100 participantsattended this one day CME. Speakers of this CMEwere Dr. Karthik Ganeshan and Dr. AvinashNanivadekar.

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G2. Nuclear Medicine & PET CT

Assistant Professor & Head: Dr. Swati RachhAssistant Professor: Dr. Rasna Tiwari

Medical Officer: Dr. Zalak PandyaNuclear Health Physicist: Mr. Om Prakash


Bone 1714

Cardiac 1

Parathyroid 11

Silography 0

Thyroid scan 229

Hida scan 61

MIBI thyroid scan 0

DTPA scan 247

DMSA 190

DRCG 0

MIBG 9

EC scan 183

I-131 Whole body/Iodine scan 264


DMSA-V scan 0

I-131 Toxicosis (10mci) 12

I-131 therapy 56

GI study 0

Liver scan 1

MUGA Scan 0

Esophagus scan (Milk) 4

Hynic-toc (octreotide scan) 7

Sentinel scan node 2

Meckle scan 6

Samarium therapy 0

PET-CT 1052

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ClinicalServices:Departmentisfullyequippedwithfour Linear Accelerator with facilities of 3Dimensional Conformal Radiotherapy, IntensityModulated Radiotherapy (IMRT), Image GuidedRadiotherapy (IGRT), Volumetric Arc Therapy(VMAT), Stereotactic Radiotherapy (SRT) andStereotactic Radiosurgery (SRS), one BhabhatronMachine, Two Microselectron High Dose RateBrachytherapy machines, two simulators MachinesandOneSiemen’sCTSimulatormachinewhichisin

H. Radiotherapy

Professor and Head: Dr. U. Suryanarayan Associate Professors: Dr. Ankita Parikh, Dr. Maitrik Mehta, Dr. Pooja Nandwani Patel, Dr. Sonal Patel Shah

Assistant Professor: Dr. Jyoti PoddarJunior Lecturer: Dr. Mridul Anand


OPD new cases 2040

Cases referred from outside for Radiotherapy

1780

Cobalt Teletherapy 2190

Linear Accelerators 8200

Brachytherapy 2484

Radiology Department and another Varian’sconventionalsimulator.

Clinical Activities: The department is treatingpatientsfromnearbycitiesandalsofromRajasthan,MadhyaPradeshandMaharashtra.

Academic Activities: Regular lectures, seminarstwiceweeklybyresidentdoctorsandbedsidecasepresentation by resident doctors conducted in thedepartment.ThedepartmentrunsCMRTcourseforMedicalRadiotherapyTechnician.

ResearchActivities:Maintenanceofpatient’srecordis done. The data is presented in national andinternational level conferences and published innationalandinternationaljournals.

Major Achievements: Dr. Pooja Nandwani Patel,Associate Professor, received AROI Overseas

ndFellowship at 2 Indian Cancer Congress atrdBangalore,November8-12,2017.Shewas3 Runner


39

Oncology (ICRO) for post graduate students ofRadiationOncologyfromalloverthecountry

Dr. JyotiPoddar,AssistantProfessor, receivedbeststposterpresentationat1 BreastCancerConferenceat

JaipurinOctober2017.

Public Services: Dr. Ankita Parikh, AssociateProfessor, is attending Siddhpur Cancer Centre forOPDconsultation, planningverficiationof2-D, 3-D,IMRT,IGRT.

upatRunAgainstCancer10KmRunorganizedbyAddLifeFoundationandSterlingCancerHospitalatRiverfrontAhmedabadonFebruary18,2018.SheisExecutiveCommitteeMemberofNationalAssociationofRadiationOncologistsofIndiafortheyear2016-2018.SheisSecretaryandTreasurerofAssociationofRadiationOncologistsofIndiaAROI–GujaratChapterfor2016-2018.SheisAssistantEditorforJournalofCancerResearchandTherapeutics.SheisMemberofEditorialBoardofTheCancer Immunology Journal.SheisNationalFacultyatIndianCollegeofRadiation

40


I. Surgical Oncology

There are six Surgical Oncology Units (I1), and sixSuperspeciality Oncology Units (I2-I7), which arePlasticSurgeryOncology(I2),UrosurgeryOncology

(I3), Musculoskeletal Onco Surgery (I4), PaediatricSurgery Oncology (I5), Interventional TherapeuticCentre(I6),andOphthalmicSurgery(I7).


Major Surgery 3523

Minor Surgery 765

IVTC Procedures 6989

DSU 8123

Central Line Insertions 520

Emergency Surgeries 123

GeneralSurgicalOncology SuperspecialityOncology

Department Number of Surgeries

Plastic Surgery Oncology 79

Urosurgery Oncology 199

Musculoskeletal Onco Surgery 244

Paediatric Surgery Oncology 200

Neuro Oncology 849

Ophthalmic Surgery 17

ICR 765

41


I1. General Surgical OncologyDirector, Professor & Head: Dr. Shashank Pandya

ClinicalServices:Thedepartmentoffersservicesindiagnosis, treatment and palliative care of thepatients in the field of Head and Neck, Thoracic,Gastro-intestinal & Colorectal, Hepato-pancreato-billiary,breastandothers.Inthelastyeartotal3523majorsurgerieswereperformedbygeneralsurgicaloncology.Differentsurgicalteamsoccupyeightmajorsurgicaloperationtheatres.Daystayunitfacilitiesareprovided for biopsy, endoscopic procedure andevaluationof lesionbeforeplanningofsurgery.Thedepartment is involved in diagnostic perioperativecare,followupandcareofterminallyillpatients.

AcademicActivities:Regularlecturesandteachingprogrammes are conducted for M.Ch. SurgicalOncology Resident Doctors and Fellows in thedepartmentintheformofcasepresentation,seminar,journalreadingandregionwisetopicpresentations.Thedepartmentalsoparticipates inGCRIacademicmeetings.

Research Activities:Maintenance of patient’srecordsandstatisticaldataanalysisisdone.Thedatais presented in national level conferences andpublishedinnational/internationaljournals.

ClinicalServices:ApartfromattendingOPDonceaweek, reconstructive surgeries are done in mainoperationtheatretwiceperweek.Inthisperiodtotal79 surgeries were performed. ReconstructivesurgeriesforheadandneckcancerpatientsandCFRswiththehelpofneurosurgeonsaredone.ScreeningofpatientsrequiringprosthesisisdoneinOPDandtheyareguidedabouttheartificiallimbsandbodyparts.

MajorAchievements:Dr.AbhishekJain,AssociateProfessor in Breast and Thoracic Oncology Unit,received6weeksfellowshipinThoracicSurgeriesatLiverpool Heart and Chest Hospital, England, fromNovember 3 to December 15, 2017 under thementorshipofDr.RichardPage.HewasinvitedasafacultyatGujaratBreastMeet2018organisedbyHCGCancerHospitalinAhmedabad.

Dr.PrasadKasbekarreceived15dayobservershipin Head and Neck Oncology and Dr. HimanshuKoyani received 15 day observership in ColorectalCancerunderatravelgrantbytheKoreanOncologySocietyatKoreainAugust2017.

Conference Organized: Upper GI MalignanciesandLiveSurgicalWorkshop(UGICON2017)wasorganizedbyDr.AbhishekJain,Dr.VikasWarikooand Dr. Mohit Sharma at GCS Medical College,AhmedabadonApril14-16,2017.

Public Services: Camps for early detection andawarenessofcancerareconductedatvariousplacesinGujarat,includingorganizationssuchasONGC,AirForceandArmedForcesetc.

I2. Reconstructive (Plastic) Surgery Visiting Plastic Surgeons: Dr. Hemen Jaju , Dr. Hemant Saraiya , Dr. Parag Kothari

Thedepartmentoffersservicestothepatientsfromall over Gujaratwho require reconstruction of lostbodypartsandguidesthemaboutprosthesis.

AcademicActivities:Thedepartmentisalsoactivelyinvolved in teaching programme of M.Ch. studentsincludingdissertationsubmissionandinternallycasepresentationsintheinstitutionalclinicalmeetings.

GI & HBP Breast, Thorax & Mis Head & Neck

Professor Dr. Rajen Tankshali Dr. Shashank Pandya

Associate Professors Dr. Vikas Warikoo Dr. Mohit Sharma Dr. Hemant ShuklaDr. Jignesh Goswami

Dr. Jayesh Patel

Assistant Professors Dr. Shailesh PatelDr. Mahaveer Tadaiya

Dr. Abhishek JainDr. Ketul Puj

Dr. Umank TripathiDr. Supreet Bhatt

42


C3. Urosurgery OncologyI3. Urosurgery Oncology

Visiting Urologist: Dr. Keval Patel

ClinicalServices:ThedepartmentoffersservicesinOPD, operation theatre and day stay unit. In thisperiod total 199 surgeries were performed. Theyexamine,investigateandtreatpatientsofurogenitalcancer.

ClinicalServices:IthastwoOPDdaysinaweek.TheoperationtheatreofMusculoskeletalOncologyiswellequipped with ultra-modern instruments andequipments like oscillating saw, oscillating drill,universal assimilating drill, laminar air flow,radiolucentoperationtheatretablewithallnecessaryattachments,ImageIntensifierTelevision(IITV)etc.Inthisperiodtotal244surgerieswereperformed.


ClinicalServices:TheDepartmentoffersitsservicestopaediatricOPD,DaystayUnitandoperationtheatrefor treatment of paediatric cancer patients. Thedepartment does the procedure of Hickmancatheterization,averyimportantcentralcatheter,forpaediatric patients. The procedure is done underradiological guidance. In this period total 157surgerieswereperformed.


I4. Musculoskeletal Onco Surgery

Visiting Orthopaedic Surgeon :Dr. Jyotindra Pandit Full Time Orthopaedic Surgeon: Dr. Jaymin Shah, Dr. Abhijeet Salunke

Major Achievements: Dr. Jaymin Shah receivedGoldMedal forbestpaperpresentation inGOACON2018atSuratinFebruary2018.

Dr.AbhijeetSalunkepresentedanOrationLectureforLateDr.NeerajSharmaOrationatSIAMSIndoreinFebruary 2018. He is a reviewer for Journal ofO r thopaed i c Surgery and Research , BMCMusculoskeletal Disorders, Journal ofMedical CaseReports, Journal of InternationalMedical Research,andAsia-PacificJournalofOncologyNursing.


I5. Paediatric Surgery Oncology

Visiting Paediatric Surgeon: Dr. Kumar Sumit Pramod

43


Clinical Services: : IVTC offers complete range ofendoscopyserviceswhichincludesdiagnosticaswellas therapeutic endoscopy and advanced endoscopyserviceslikeERCP,EUSandpleuroscopy.Italsooffersroutine OPD services and reference in GI andrespiratorymedicine.The IVTC department under surgical oncologydepartment is high volume center for endoscopyservicesandincludesadvancedendoscopylikeERCP,EUSandPleuroscopy. Itconductedmorethan6500procedureinperiodfromApril2017toMarch2018

whichincludesmorethan4000diagnosticendoscopyand1500therpeuticendoscopyaswellasmorethan500advancedendoscopyprocedureincludingERCPandEUS.Itcoversmanytherapeuticprocedureslikedilatation, EVL, sclerotherapy, balloon dialations,polypectomy and endoprosthesis deployment. Thedepartment is now equipped with High end HDendoscopy sytems as well as EUS and now catersalmostcompleteGIEndoscopyprocedures. Itisalsobeen imparting training programme for thoseinterestedinlearningendoscopy.

I6. Interventional Therapeutic Centre (IVTC)

Full Time Consultant Gastroenterologists: Dr. Kunal Bhardwaj, Dr. Mukund VirpariyaPulmonologists: Dr. Parthiv Mehta, Dr. Pankaj Vyas


UGI scopy 3305

Colonoscopy 1022

RT Insertion 511

Dilatation 447

PEG 9

EVL 269

Glue/Scleotherapy 10


Endoprosthesis 11

ERCP 331

Bronchoscopy 1020

Pleuroscopy 23

EUS 31

Total Patients: 4100 6534

44


TrainingOrganised:Dr.KunalBhardwaj andDr.Mukul Virpariya, Consultant Gastroenterologistconducted training for high level disinfection forendoscopysystemalongwithOlympusHealthcareonNovember22,2017.

PublicServices:Dr.KunalBhardwajalongwithDr.ParthivMehtawaspartof twodaysCampactivityorganizedbyAlMadeenatrust,JodhpuronFebruary24-25,2018andscreenedalmost250patientsforGIand400patientswithrespiratoryrelatedcomplaints.

AcademicActivities:Departmentfacultytakespartin academic program of GCRI routinely as multidisciplinaryteam.Departmentalsoimpartstrainingto M.Ch. students in endoscopy as well asgastrointestinalmedicine.

MajorAchievements:Dr.KunalBhardwajisoneofthe selected 12 Gastroenterologists across India aspart of Pancreas India forum and was part ofpresentationcommittee.

I7. Ophthalmic Surgery

Visiting Ophthalmic Surgeon: Dr. Aashish Shah

ClinicalServices::TheDepartmentoffersservicesinOPD,OperationTheatreandDayStay,thriceperweek.Theyexamine,investigateandtreatpatients.

GCRIhasnowbeenrecognizedasTertiaryCenterforEye Cancers for States of Gujarat, Rajasthan andMadhyaPradesh.Allagegrouppatientsfromchildren


OPD Patients 250

Major Surgeries 15

CT Guided Biopsy 5

Minor Surgery 5


Health Check Ups 45

Ward Visits 10

BMT Visits 10

toadultsofEyecancersaretreated.Retinoblastomacommon in children are diagnosed and treated.Choroidal melanomas, Basal Cell Carcinoma,SquamousCellCarcinomaetc.inadultsarediagnosedand treated. Glass prosthesis and other types ofprosthesis are given for social well being once thepatientsaretreated.

45


ClinicalServices:TheDepartmentiswellequippedwithtwooperationtheatres.TheoperationtheatreiswellequippedwithLaminarAirFlowandstateoftheart anesthesia system, Microscope with C.C.T.V. byZeiss, Ultrasonic Surgical Aspiration by Valley Lab,IITV,StereotacticApparatus,RadioFrequencyLesionGenerator,IntensiveCarefacilitieswithstateoftheartcardiorespiratory monitoring system, advancedventilators and its own dedicated Central SterileSupplyDepartment.

The Department is running OPD on Monday andThursday every week where new patients areexamined and the follow up patients are regularlyattended in the OPD. The Indoor references areregularlyattended.Theservicestothepoorpatients

for neurosurgical diseases are offered. Thedepartmentalsoprovidesemergencyservicestothepatients.TheregularteachingtotheMedicalOfficersandResearchFellowiscarriedoutduringthewardroundandoperation. Thedepartmentisalsohavinginteractionswithotherdepartmentsofthehospital,e.g. Surgical Oncology, Plastic Surgery, MedicalOncology, Endocrinology, Biochemistry, Pathology,Radiation Oncology Department , RadiologyDepartmentandPhysiotherapy.Themedicalstaff isregularlypresentingtheclinicalresearchpaperatthenationalandinternationalconferences.Thereisalsopotential to start DNB courses in the speciality ofNeurosurgeryatGujaratCancer&ResearchInstitute.

J. Neurosurgery

Head: Dr. Dipak Patel, Part Time NeurosurgeonFull-Time Neurosurgeon: Dr. Paresh Mody

Part-Time Neurosurgeon: Dr. Navin Patel, Dr. Tejas PatelMedical Officers: Dr. K. G. Patel, Dr. Minesh Patel, Dr. Nilam Patel


Minor 68

Total 849


Selective 07

Supramajor 617

Major 157

46


K. Support Services

K1. General Administration And Human Resources

This department looks after two important keyactivities of the Institute. General Administrationlooks after the day to day general administrationaspects related to hospital's administrativeprocedures like conducting meetings of variouscommittees, executing the decisions taken by thecommittees, streamlining the administrativeprocessesetc.

General Administration supports various eventsarrangedbytheInstitutefordifferentpurposeslikeCancer Detection Camps, Cancer AwarenessExhibitions, Workshops, Seminars, Lectures,Conferences,etc.

Major initiatives taken up by this department isimplementingComputerizedGrievanceandFeedbackManagement Portal to resolve patients and theirrelatives'complaintsaswellasinternalmaintenanceissues of the staff for engineering and computerservices.SystemisinteractiveandcomplainantgetsimmediateresponsethroughSMSaswellasconcerndepartment'sHead/OfficerordoctororMatronsalsogetSMSalertaboutthecomplaint.Onredressalofthe

complaints,thesameisbeingupdatedinthesystemandthewholeprocessisbeingcloselymonitoredbytheGeneralAdministrationforeffectiveuse.

GeneralAdministrationalso closelyworkswith thecomputer section for successful implementation ofvariousmodulesofsoftwareforhospitaloperationsas well as administration. Ultimately goal of theGeneral Administration is to provide seamlessservices to the patients as well as employees forefficientdeliveryofpatientcare.

OutsourcingServices:Human Resource Department looks after theOutsourcing Services. It includes Security Staff,Housekeeping Staff, Utility Service Staff & Canteenfacilities and diet for patients. Department alsomanages Outsourcing Services of other Centers ofGCRI (Saurashtra Cancer Care Centre, Rajkot &SiddhpurCancerCareCentre,Siddhpur).DepartmentalsolooksaftertheprocessofTendering,evaluation,billing process of outsourcing services and regularmonitoringofoutsourcingservices.

47


Human Resources Section

HumanResourcesSectionlooksaftertheprocessofrecruitment of new human resources, promotion,disciplinaryaction, training,maintenanceofhumanresources' records, retirement process etc. Forsmooth operation of these services, HumanResourcesSection,afterlotsofefforts,hasdevelopedcomputerizedsystemforvariousactivitiesofhumanresourcemanagement.Thenewsoftwarenowworksonfull-�ledgedbasisandhasremovedmanyobstaclestoeffectivelymonitorhumanresources'performanceintheentireInstitute.

Human Resources Section also identi�ies differenttrainingprogrammesforcapacitybuildingofhumanresources in the Institute and appropriate staffmembersaredeputedtoattendtrainingoutsidetheInstitute.Asacontinuouseffortofcapacitybuildingofstaff, regular training programmes of nurses andotherstaffarealsobeingarrangedinternallywiththehelp of NGOs and other organizations. HumanResources Department aims at recruiting andretainingbestoftalentsfortheInstitute'sdaytodayoperations.

Secretarial Services Section

General Administration Department is alsosupportedbytheSecretarialServices.Secretarialstaffwhichprovidessupportforallgeneraladministrativeactivities like organizationofworkshops, seminars,conferences, publication of various materials,

preparingagendaandminutesofmeeting,circulars,maintenance o f important o f � i ce records ,correspondenceandpublicrelationswiththevisitorsvisiting Institute tomeet higher of�icials aswell asInstitute'sotheractivities.

48


Account Section

Account section looks after the maintenance ofaccounts,internalandstatutoryaudits,governmentaudits, government grant's management, donationfromthepublic,paymentofbills,receivingofhospitalfees,paymentofwages,etc.Thissectionalsoplaysavery vital role in ef�iciently managing the �inanceswhich earns interest on the funds which are notrequiredtobeusedimmediately.Alltheactivitiesofthisdepartmentarecomputerizedandvariousdata

given by them helps the management in takingstrategic decision on �inancial management. Thissectionhasintroducednewservicesforpatients'feecollection and continuously strives to ease out thepatientsandtheirrelativesproblemsrelatedtotheirservice charges. This section also liaises with theGovernmentandotherauthoritiesformanagementofgrantsandothercomplianceaspects.

Store and Purchase Section

in any hospital not only smoothen the day to dayoperationsbutalsopreventsunnecessarystockingofvarious items. This section continuously strives toimprovedaytodaysupplychainmanagement.Anewsoftwarehasbeenprocuredtoimprovetheef�iciencyofinventorymanagement.

This section provides ef�icient services for supplychainmanagementofconsumableitemsrequiredforday to day hospital operations. This section alsoconductsprocessofinvitinge-tendersand�ixingupthecontractsaswellasef�icientmanagementofthecontracts.Timelysupplyandinventorymanagement

49


Engineering and Maintenance Section

Institute'sbuildingsareoldandsomeofthebuildingsaremorethan50yearsoldwhichrequirescontinuous

maintenance for civil, electrical, electronics andcommunication, air conditioning works, etc. This

to day management of operation theatres'equipments.TheyarealsoresponsibleforprovidingservicesatSiddhpurCancer CareCentre,Siddhpur,managed by Gujarat Cancer & Research Instituteunder an agreement with Govt. of Gujarat. Thissection also provides training to Bio-medicalengineering students , Diploma BiomedicalEngineeringstudentsandI.T.I.studentscomingfromdifferentinstitutes.TheyalsolookaftertheworkofAMC/CMC of various equipments for properfunctioning of medical equipments. They alsomaintain records and check list of AMC / CMC forpreventivemaintenance.

Biomedical Engineering Section looks after the e-tender process for procuring new equipments,arranging technical committee, tender committeeand purchase committee's meetings, contractmanagement for procurement of new equipments,maintainingthescheduleformaintenanceofdifferenthigh-tech medical equipments, etc. Ef�icientmanagementofmaintenanceschedulehelpsInstitutein keeping down time of the different equipments'negligible. The section also supports hospital'sdifferent departments in maintenance andtroubleshootingoftheirequipments.Thissectionisalsoresponsibleforprovidingef�icientservicesinday

Biomedical Engineering Section

50


Information Technology Section

Resident Medical Officer Section

Since last twoyears, the Institutehas implementedGCRI Master Development Plan and during thisprocess,theInstituteisdemolishingoldbuildingstomake way for construction of new well plannedmultistoried building. During this process, theInstitute has to relocate existing facilities at someotherlocationstomaintainthepatientcareservices.Thisdepartmenthasef�icientlymanagedrelocationofthepaediatricandothersectionsaswellashostelattheotherconvenientplace.Duringdemolishingalsolots of reusable material has been salvaged at thesame time the entire process has been completedsafely.

sectionlooksafterthedaytodaymaintenanceofcivilwork,interiordecoration,electricalinstallations,airconditioning,liftmaintenance,etc.Thissectionalsohelps Institute in procurement of maintenanceservicesaswellasnewconstructionwork,electricalinstallations,airconditioning,communication,CCTV,etc.This sectionalsoprovides ef�icient services forestate management, particularly maintenance ofsoundsystemintheCamaHallandmaintenanceofguesthouses,doctorshostel,staffquartersandCOC,Vasnacampus.

The Information Technology section is enabler forbetter patient services. IT Team develops an ITstrategy that supports the organization’s objectivesand helps build a strong competitive advantage. ITteamalsoensuresthattherightlevelofITresourcesisavailabletomeetchanginglevelsofdemand.ITteamisfocusedonadaptionoflatesttechnologies,infusingnewandcosteffectiveideasforeaseofoperations.

Our road map is to move towards cloud basedcomputingtominimizeonpremisesITinfrastructure.

Business Continuity Planning (BCP), Networksecurity, Data security, Data protection, Licensecompliance, Cloud based email system, HospitalInformation Management System are the dailyactivityofInformationtechnologysection.

51


ThissectionsupportsfollowingservicesŸ Ef�icientmanagementofOutPatientDepartment's

serviceslikeClinicalLaboratories,Radiologyetc.Ÿ Coordination of various services between the

Institute, GCS Medical College, Hospital andResearch Centre, Community Oncology Centre,Vasna,HomeHospiceService,etc.

Ÿ They provide guidance and assistance to thepatients for their treatmentaswellasbene�itofvariousgovernmentschemeslikeMAYojana,MAVatsalya Yojana, SC / ST scheme, School HealthP r o g r amme , s u p p o r t b y o t h e r N GO s ,

accommodationforpatients'relativesaroundCivilHospitalcampusetc.

Ÿ TheyalsoconductPatientCareEvaluationMeetingand decisions taken by the committee areconveyed to themanagement for execution andimprovement of patient care services. Ef�icientsupport of ResidentMedicalOf�icers has helpedlarge number of patients to avail �inancialassistancebene�itofvariousgovernmentschemesfortheirtreatment.Weareproudtodeclarethatwe are treating the largest number of patientsunder the MA Yojana, MA Vatsalya Yojana andLowerIncomeGroupYojana.

52


Chief Photography and Publicity: Mr. Dharmesh Panchal (From March 2017 to October 2017)Photographer cum Artist: Mr. Rushi Patel

Services:Thedepartmentplaysanimportantroleincatering all the needs of Photography and Graphicwork of the institute for the purpose of clinical,educational and public awareness activities. Thedepartmenthasdigitalin-houseproductionfacilityofeducational material. The annual departmentworkload includes more than 7300 clinical andvarious institutionalactivitiesphotographs.Besidesthis the technical manpower is contributing theirexpertise in designing institutional publication andprintingmaterialse.g.designingAnnualReports,GCS

ResearchJournal,Certificatesofvariouscoursesrunby Institute,Websitephoto&graphicupdates,staffIdentity Cards, Institutional Circulars and cancerawareness posters for mobile exhibition. Thedepartmentisalsoinvolvedinfacilitatingpreparationofpresentationmaterialsandhandoutsforscientificmeetings.ThedepartmentalsoparticipatesinalltheGCRI/GCSpublicawarenesscampaigns.Departmentstaffalsoinvolvesindesigningcommunityawarenessmaterialandmakeitunderstandableforlaypeople.

K2. Educational Graphics & Medical Photography

53


Activities: The Library render the services withcontinued all its activities to provide informationsupport for teaching, academic and researchwork.The Library of GCRI is attempting to preserve therecordofmedical knowledge in the formofBooks,Journals, Databases, and Scholarly scientificcollection and provide more efficient service toFaculties, Resident Doctors, Medical students, ParamedicalandResearchScientists.

Collection Building: The Library introduced E-Tender process for procurement of books andJournalssince2014.ThelatestadditionofOncologybooks and journals to this library has enriched itscollection and made it a good reference centerparticularly in the field of oncology. Though this,library has a vast collection of International andNational journals of oncology and Back volumesarchives. Out of the 43 current journals, 33 areInternational and 10 areNational. The departmentcontinueditssubscriptiontoUpToDateand EBSCOOncologyonlinemedicaldatabasesfortheyear2018.

DigitalLibraryNoticeBoardService:GCRILibrarystarted the digital notice board facility for

disseminate the relevant and quick information totheir users from February 17, 2018 onwards. TheLibrary keeps a record for displaying recentpub l i ca t ions , upcoming con ference , s t a f fachievements and meeting on the Digital librarynoticeboard.

UpTodateDatabaseAccessService:Toenhancetheusagesutility,Doctorsandotheracademicstaffcanaccess UpToDate Medical Database through userID/Password in off campus or remote login. ForRemoteaccessUserscanuse theirMobiles,TabletsandLaptopstoaccessthesamedatabase.UserscanalsoaccesstheUpTodateDatabasethroughhospitalIPinthecampususeonly.

EBSCO Oncology Database Service: Total 122Oncology E-Journals can access in hospital campusand Off Campus/Remote access through Mobilephones,TabletsandLaptopsbytheLibraryusersofGCRI.

OVID & Clinical Key Databases access servicesthrough NCG: Library users can access OVID &Clinical Key database in hospital campus through

Librarian: Ms. Nuri Kalita Assistant Librarian: Mr. Jagdish Gohel

K3. Library & Information Services


54

HospitalIPbyformingpartofNationalCancerGridProgrammeofGovt.ofIndia.

Internetaccess/Wi-Fiservice:GCRILibraryiswellequipped with computer lab having 17 nodes,broadbandinternetandWIFIfacility.

DigitalLibrary:GCRIdigitalLibraryisfocusedonthecollectionofdigitalobjectsthatincludesInstitutionalrepository and online databases which are useexclusivelyforlibrarymembersintheGCRIcampus.

GCRIlibrarydatabaseismanagedthroughSOUL2.0software with Web OPAC (Open Public Accesscatalogue)facilities.ThroughuseofWebOPACfacility,usercanfindanycataloginformationofGCRILibrary.The feature of Web OPAC is search facility byspecifying Author, Title, Subject, and Year ofpublication or any other field. Institutionalrepository of GCRI has been created to collect,preserveanddisseminationofthescholarlyoutputofGCRI

Information sources:

Books

Books (2001 onwards) 1008

E-Books 160

Journals

Current print journals 43 ( International : 33, National: 10)

E-Journals 192

Back bound volume journals (2001 onwards) 4156

Databases:

EBSCO : online full text e-journals database 122

UpToDate: Online Resources for Clinical Knowledge management Decision Support System

Ovid : Online Wolters Kluwer LWW E-Journals 20

Clinical Key : E-resources for citation and full text E-Journals 63 & E-books 74

Audio-Video (CD and DVD)

E-Books and E-journalsSpecial collection on conference report of Live Surgery - SELSICON 2011- HPB Workshop 2012- UGICON 2017

75 71 1157

Institutional Repository

PhD Thesis, DM, Mch, MD, MSc -Dissertation and Logbook (Softcopy & Hardcopy)

928

Question paper (DM, MCh, MD, MLT and MSc - Cancer Biology) 2007 onwards

Clinical photographs (Softcopy) 2009 onwards

Clinical meeting (Softcopy) 2010 onwards

Annual report of GCRI and GCS (Soft copy & Hard copy) 1972 onwards

Statistical data /Cancer registry (Soft copy & Hard copy) 2005 onwards

GCSMCH quarterly news letter 2013 onwards

GCS Research Journal 2013 onwards

Staff Scientific publication 2014 onwards

55


ClinicalServices:NursingwingprovidediversifiedOncology Nursing Service to the cancer patientsthrough various specialties like Central VenousDevices (CVAD), Stoma Care andmanagement, andInfectionControlatvariouslevelsetc.InourNursingDepartment, we have specially trained oncologynursestogivesafeandeffectivenursingcaretotheCancerpatients.

CVAD and Stoma Care are run by specially trainednursesMrs.PinalDarjiandMrs.NilamDave,whoaretrainedbyoneofthemostexclusiveandreputedTATAMemorialHospital,Mumbai.

CVAD:WehavestartedtheseservicesatGCRIsince2008. This is the first State of the art centre wellknowninGujaratState.TheservicesofferedbyCVADincludepreandpostcounselingofthecancerpatientsand give moral support to their relatives. Detailrecords of indoor and outdoor patients havingCatheterInsertionandremoval,anddressingofthesepatients are maintained. Patient’s relatives areeducatedaboutcareofcatheterdressingandflushingofcatheter.Therecordsofportneedleinsertion,PICC

insertion, Hickman Catheter Insertion, CertofixCatheterInsertionarekept.Thetrainednursesteachthe same procedures to Nursing Students, Junior/SeniorNursingstaffregardingtheCathetercare.

Chemotherapy training for Nurses of DistrictHospital: One day chemotherapy training programhavebeenorganizedtotrainthedistrictlevelnursingstaff,hencepatientcangetadvantageofcareintheirarea.

K4. Nursing Services

Matron Grade I : Ms. Mona Darji , Ms. Manisha Katara


Dressing 7062

Hickman Catheter Insertion 98

Port Insertion 115

Port Needle Insertion 1917

PICC Insertion 490

Certofix Insertion 232

Cavafix Insertion 27

Removal 368

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Chemotherapy, Blood Transfusion & Other Procedure Data

Chemotherapy 42816

Blood Transfusion 3401

BMBX 3802

BBX 2042

IT 3700

CSF 1382

Ascitis Tapping 988

Pleural Tapping 868

Other Procedures 470


Paediatric OPD

New 1217

Chemotherapy 7753

PCV / PRP 805

IT 2294

CSF Cyto 674

BMBX 1033

BBX 343

CYTOGUTIC 204

IPT 315

R/M 39

Pleural Tapping 09

Ascitis Tapping 03

AD ADMI 1609

Adult Texol 4498

57


Clinical Services: This is the first Stoma Clinic inGujarat State started on March 4, 1983. In StomaClinic two Enterostomal Therapist, CET specialqualified are working. The services offered by thedepartment include: (1) Giving pre-operativecounselling to the patients and their relatives, (2)Before operation, stomamarking to prevent futureproblem, (3) Select of the stoma bags according tostomasizeandapplyingonostomypatientsaswellasfaecal fistula drainage patients, (4) Giving detail

instructionandadviseaboutstomabagsandstomamanagement to patients and their relatives andapplication of stoma bag, (5) Giving Post operativecounselling to patients and their relatives, (6)KeepingdetailrecordofIndoorandOutdoorpatientslikeColostomy,ileostomy,ilealconduit,faecalfistulaand drainage, (7) Keeping detail record of varioustypesofstomabagsforindoorandoutdoorpatients,(8)Teachingnursingstudentsaboutcolostomycareand(9)Keepingtherecordsofcancercarepatients.

K5. Stoma Clinic

Ms. Nilamben Dave, Staff Nurse, Stoma Care


New Patients 496

Old Patients 2392

Number of colostomy bags 35197

58


Services:About451medicinesaredispensed frompharmacy.ThePharmacyComputersarelinkedwithall bill collection counters to know the day-to-dayavailability stock of medicines in pharmacy. Onlyoutdoors patients (withRx of Tablet/Capsules) aresuppliedMedicinesfromgroundfloorRoomNo.25,whichisjustneartocashcollectioncounter.IndoorPatients(admittedinwards)aredispensedmedicinesfromsecondfloor(DispensingPharmacyforIndoorpatients) near to B.M.Tward RoomNo. 210whichremainopenedfrommorning8:00amtoevening8:00pm.DaycarepatientsaredispensedchemotherapyanditssupportingdrugsneartoChemotherapywardRoom No.7 defined as Chemotherapy Pharmacy.Pediatric patients are supplied medicines fromPediatric Pharmacy located at GCSMCH, Naroda.Arrangements are made for the pharmacy

requirementofSiddhpurCancerCareCentre.OnlineWard Indents system is established which isimplementedsuccessfully.AllDepartmentsaswellaswardsfortheir Medicinesrequirementindentsaresupplied from Main store - first floor aboveAnnapurna Canteen. Management of Pharmacy –procurement, distribution and control of allpharmaceuticalsusedwithintheinstitutionandformanagement of personnel within the pharmacydepartmentiscontrolledbyMainPharmacyStore–firstflooraboveAnnapurnaCanteen.PatientsofMAYojanaandSC/STcategoryaresuppliedcostlydrugsaswellassurgicalitems/ortho-surgicalitemsfreeofcost. To provide better services to patients thepharmacyserviceshoursareremainsopenfrom8.00AMTo8.00PM.

K6. Pharmacy

Chief Pharmacist & Store Officer: Mr. Arvindbhai Kotadiya

60


ClinicalServices:Thedepartmentpreparesartificiallimbs,organs,partoffaceandotherprosthesis.Theprosthesesmentionedbelowaremadefromsilicone

Academic Activities: Total 17 MDS studentsattendedthedepartmentforonemonthtrainingforexternalprosthesisofmaxillofacial.Total1450MSc,BSc,GNMnursingstudentsandtutorsalsocometo

and Acrylic. A total of 1794 patients attended forprosthesisandof them733werenewpatientsand1061werefollow-uppatients.

Head: Dr. Hemen Jaju Assistant Medical Sculpture: Dipan Soni

K8. Prosthesis & Rehabilitation


Ear Prosthesis 03

Eye Prosthesis 05

Lip Prosthesis 01

Cheek Prosthesis 10


Thumb Prosthesis 01

Finger Prosthesis 02

V mould 08

Breast Prosthesis 1380

Total number of prosthesis 1410

learn about External Prosthesis as it is one of thesubjectsof theircurriculum.Patientsarealsogiventraining of how to use the Prosthesis and arerehabilitated.

61


Research Activities: Since its inception, thedepartmentisactivelyengagedinclinicallyorientedresearchprojectsandhascontributedsignificantdatahavingclinical implicationsforcancerpatients.ThemajorareasofresearchareCanceraetiology,Signalt r a n s u d a t i o n , G e n om i c s , C y t o g e n e t i c s ,Pharmacogenomics, Proteomics, Stem cell biologyetc. Based on our previous findings and ourinternationally published data, major ongoingresearch projects of the department are aimed toexplore cancer biology (molecular signatures)withfollowingmajorobjectives:

l Identificationofnovelmutations/polymorphismsinIndianpatientpopulation

l Geographicvariationinaetiologicfactors,geneticprofile and proteomics/glycoproteomics profilebetweenpatientswithinIndia

l Identification of newer drug targets and drugdiscovery

l TodevelopSalivaomicsapproachasNon-Invasivetoolforearlydetectionoforalcancer

l Role of cancer biology to help cancer screeningprogrammesatmolecularlevelwhichistheneedofthedayinIndia

Clinical Services: More than 200 c l in icalinvestigations are done using advanced diagnosticsandmolecular techniques such as: Immuno-chemi-luminescence enzyme assay, Convent ionalcytogenetics,FISH,Multi-colorFISH,PCR,RealTimePCR,ELISA,Immunohistochemistry,FlowCytometryetc.

EducationalActivities:ThedepartmentrunsPost-Graduate Degree Courses such as M.Sc. (CancerBiology),M.Phil.andPh.D.(LifeScience)inaffiliationwithGujaratUniversity.

L. CANCER BIOLOGY

Department of Cancer Biology was established in1980 with primary research focus area onTranslationalCancerResearch.Thedepartmenthasnowmetamorphosedinto5stateoftheartresearch

laboratoriesinvolvedinbasicandappliedresearchincancer biology and caters advanced diagnosticservicesforcancerpatients.

62


ClinicalActivities:ThelaboratoryiswellequippedwiththreeVentanaBenchmarkXTautomatedstainerforimmunohistochemistryworkandFACSCanto10colour flow cytometer for leukemia/lymphomai m m u n o p h e n o t y p i n g . E v a l u a t i o n o fimmunohistochemical markers for differential

histopathological diagnosis and predictivemarkerssuchasER,PRandHer-2-neuhasbeencarriedoutatthe lab. Immunophenotyping of leukemia /lymphomahasalsobeencarriedoutalongwithPNHandCD34evaluation.

Associate Professor & In-charge: Dr. Hemangini Vora Research Assistants: Dr. Kruti Rajvik, Dr. Shalvi Mehta (up to June 2017), Dr. Birva Raiya

Junior Research Assistant: Dr. Nupur Patel

L1. Immunohaematology Lab

Details of Work Done Number of Tests Number of Patients

Clinical work

Immunohistochemistry

Immunohistochemical Markers (92 markers) 27109 3969

Estrogen and Progesterone receptors (ER/PR) 2931 1405

Her-2-neu 1512 1624

Total 31429 6928

Flow Cytometry

Immunophenotyping 12895 875

CD 34 percentage 80 27

PNH study 175 24

Total 13150 926


63

AcademicActivities:ThelabisinvolvedinteachingofMScCancerBiology,MPhilandPhDstudents.ThelabenrollsMSc,MPharm,MDSandMDstudentsasobservers.

Research Activities: The main areas of researchincludedevelopmentofcosteffectiveproteinpanelbyCGH array and transcriptome sequencing of triplenegative breast cancer. The molecules of EMTpathway,cancerstemcells,andmoleculesofcancer

stemcellnichearebeingevaluatedinbreastcancerpatients.Toidentifygenesinvolvedinpathogenesisofacutemyeloidleukemia.InB-ALL,roleofIkarozgeneandMRDevaluationiscarriedoutbyflowcytometry.

MajorAchievement:DevishaMavani,MScCancerBiology Student, received second prize for posterpresentation in National Conference on NewHorizons inCancerBiologyatAMA,AhmedabadonMarch16-17,2018.

Details of Work Done Number of Tests Number of Patients

Research work

Immunohistochemical markers 550 50

Markers by Flow Cytometry 120 50

Immunohistochemical markers for dissertation 650 200

64


Cl in i ca l Serv ices : HLA Typ ing Tes t s fo rdeterminationofClassIandIIHLAtypingantigenA-B-DR in patients who are recommended for bonemarrow transplantation such as thalassemia andblood cancer. It is being performed by PCR SSPanalysis, in a 96 well plate format, comprisingdifferentallele-orsequence-specificprimersetsineachwellalongwiththeprimersforamplificationofsample’sinternalcontrol.Evaluationoftheresultsisdone by agarose ge l e l ec t rophores i s andsubsequentlyinterpretedusingonlinesoftware.

Academic Activities: The division participates invarious academic activities of the institute. Theycomprise of weekly seminars of the department,enrollment of PhD students and MSc Dissertationstudents.Moreover,thedivisionisactivelyinvolvedin

L2. Tumor Biology Lab


HLA Typing Tests 158

Assistant Professor & In-charge: Dr. Nandita GhoshResearch Assistants: Dr. Toral Kobawala, Dr. Kinjal Gajjar

MScCancerBiologycourse.Lecturesandpracticalsfor students of MSc Cancer Biology are beingorganized by the division. Also the examinationspapersareset,practicalexamsarebeingconductedfollowedbyassessmentoftheanswersheetsbythestaffmembersofthedivision.

Research Activities: At present, the researchactivities of this division are carried out in variousmalignanciessuchasbreast,colorectal,ovarianandthyroidmalignancieswiththefocus instudyingtheclinicalrelevanceofmultiplebiologicmarkersbyfullyexploiting the genetic and epigenetic machineryinvolved in the initiationandprogressionofcancerusing recent technologies. It also aims in exploringdrugresistanceandtoxicitybiomarkersatmolecularlevel.Inbreastcancer,researchrevolvesaroundthevital role of Wnt signaling pathway molecules andantagonists. In colorectal cancer, the role ofThymidinesynthetase,DPYD,MTHFR,ERCC1,ERCC2,XRCC1andGSTP1havebeenstudied. Further,theirinteraction with microRNAs will be evaluated, and

65


MajorAchievements:VibhaMehtarotatingtrophyfor meritorious performance and researchpublications during Hospital Week Celebration,February2018.

DrKinjalGajjar,ResearchAssistant,receivedDr.TBPatel Gold Medal (Young Scientist) for oralpresentation during Hospital Week Celebration,February2018.

subsequent ly the i r re l evance fo r pa t i en tmanagement.Theinformationgainedwillbevaluablefor amore reliable estimate of tumor behaviour topredict patients’ prognosis, identify individualpatientswhoareatalowriskorhighriskofrelapse,detection of micrometastasis and monitoring thecourse of the disease. Subsequent to statisticalanalysis, the data is presented in national levelconferencesandpublishedinnational/internationaljournals.

66


ClinicalServices:DiagnostictestofIDH1andIDH2MutationsbyReal-TimePCRfromclinicalsamplesareperformed since it is essential for molecularclassification and predict treatment response ofpatientshavingbraintumors.

L3. Clinical Carcinogenesis Lab

Senior Scientific Officer & In-charge: Dr. Trupti Trivedi


Clinical Work

IDH1 and IDH2 mutation detection by real-time PCR

19

Research work

DNA and RNA extraction from tissue 60

IHC staining of ABCG2, Nanog, CD68, CD163, OP-18, from primary tumors of oral cancer patients and their corresponding adjecent LNs

90

AcademicActivities:The laboratory is involved invarious academic activities including presentationandparticipationinweeklyseminarsconductingbythe department . Theoret ical and pract ical

demonstration of molecular biology techniques toMScCancerBiologystudents,dissertationstudents,and observers from various universities. Thelaboratory actively participates in Conferences andCMEorganisedbytheCancerBiologyDepartment.

ResearchActivities:Themainresearchareaofthislaboratoryistoelucidategenomiclandscapingfromthe tissue samples and liquid biopsy specimens ofadult andpaediatricbrain tumorpatients. StudyofIDHmutations andMGMTmethylation for lowandhigh grade gl ioma patients . For molecularclassificationandappropriate tailored treatmentofmedulloblastoma and brain stem glioma patientsexplorationofpanelofmolecularmarkers.StudyofcopynumbervariationsofMYCNandALKfromtissueand cell-free DNA specimens of neuroblastomapatients.

Major Achievement: Dr. Trupti Trivedi, SeniorScientific Officer, received award for Best Paper

thpresentation at 7 International Conference onTranslationalCancerResearchheldatChennaifromFebruary8-11,2018.

67


Clinical Services:Quantitative/Qualitative analysisofBCR-ABLfusiongene,PML-RARfusiongene,JAK-2V617mutationsandC-KitmutationareperformedbyReal-TimePolymeraseChainReaction.FLT-3ITDandD835 mutation are carried out by restrictionfragmentlengthpolymorphismmethod.

AcademicActivities:ThelabfacultiesareinvolvedinteachingofMScCancerBiologystudents.Otherstaffmembers also participated in practicals and otheracademicactivityforM.Sc.students.Theoreticalandpracticaldemonstrationofvariousmolecularbiology

andbiomedicaltechniqueswerecarriedout forthestudents who came as observers from variousuniversities.

Research Activities: The laboratory is activelyinvolved in studying tobacco carcinogenesis andother molecular mechanisms of tobacco relatedcancers, mainly oral cancer. Further, the study ofglycosylation changes and associated molecularmarkersas thehallmarkof cancer.Studyof clinicalsignificance of interactions between vitaminD andrelated molecular pathways, p53 and DNA repairgenesinbreastcancerisalsoundertaken.Studiesonprevalence of high risk human papilloma virusinfection in cervical cancers in population fromGujarat West India and evaluation of BCR-ABLindependent molecular mechanisms in ImatinibresistanceCMLarealsoongoing.

Major Achievements: Dr. Kinjal A. Patel, JuniorResearch Assistant, received first prize for YoungScientistoralpresentationatNationalConferenceon

L4. Molecular Oncology Lab

Professor & Head: Dr. Prabhabhai Patel Senior Scientific Officer and In Charge: Dr. Jayendra Patel Junior Research Assistants: Dr. Kinjal Patel, Dr. Shruti Patel


BCR-ABL fusion gene 1190

PML-RAR fusion gene 80

FLT3-ITD & D835 Mutation 180

JAK-2 V617F Mutation 51

C-KIT Mutation 33

68


Horizons in Cancer Biology held at AhmedabadManagementAssociationduringMarch16-17,2018.

Ms.MaitriDe,Dissertation Student, received thirdprizeforPosterpresentationatNationalConferenceon New Horizons in Cancer Biology held atAhmedabadManagementAssociationduringMarch16-17,2018.

Dr.JayendraPatel,SeniorScientificOfficer,receivedEmployeeoftheMonthforJanuary2018.

NewHorizonsinCancerBiologyheldatAhmedabadManagementAssociationduringMarch16-17,2018.

Dr.KinjalD.Patel,JuniorResearchFellow,receivedthird prize for Young Scientist oral presentation atNational Conference on New Horizons in CancerBiologyheldatAhmedabadManagementAssociationduringMarch16-17,2018.

Ms. Kruti A. Mehta received first prize for Posterpresentation at National Conference on New

69


Clinical Services:Lab is actively involved in EGFRmutationanalysisfromclinicalsamples.

L5. Stem Cell Biology Lab

Senior Scientific Officer and In Charge: Dr. Franky ShahResearch Assistant: Dr. Apexa Raval

Junior Research Assistants: Dr. Urja Desai, Dr. Jigna Joshi


EGFR Exon study 245

AcademicActivities:ThelabfacultiesareinvolvedinteachingofMScCancerBiologystudents.Theoreticalandpracticaldemonstrationofmolecularbiologyandbiomedical techniqueswascarriedout forstudentswhocameasobserversfromvariousuniversities.

Research Activit ies : Cancer BiomarkersDevelopment, Signaling pathways in cancer, role oftumormicroenvironment in cancer, Stem cells and

Cancerstemcells,DNAdamageandrepairpathways,Cancer epigenetic, identification of molecular andtherapeutictargetsforcancer,andHereditaryCancergenetics.

MajorAchievements:Dr. Apexa Raval, ResearchAssistant,receivedfirstprizeforposterpresentationatNational ConferenceonNewHorizons inCancerBiologyheldatAhmedabadManagementAssociationduringMarch16-17,2018.

Dr.UrjaDesai, JuniorResearchAssistant, receivedsecondprizeforYoungScientistfororalpresentationatNational ConferenceonNewHorizons inCancerBiologyheldatAhmedabadManagementAssociationduringMarch16-17,2018.

70


L6. Cytogenetic Lab

ClinicalServices:CytogeneticsLabisequippedwiththestateofartsetupforresearchintheareaofclinicalcytogenetics. The division is actively engaged inresearch on various aspects of chromosomalabnormalities.Majorclinicalservicesprovidedbythedivision are for diagnosis and prognostication ofpatients with various hematological malignancies.TheservicesareprovidedtotheGCRIpatientsaswellasothercasesreferredfromvariousotherplaces.

ThedepartmentisequippedwithMetafer,AutomaticMetaphase and Interphase Scanning and CapturingSystem for Karyotyping and FISH (Fluorescence InSitu Hybridization) assays. It has a fullymotorizedepi-fluorescencemicroscope(Imager.Z2)fromZeiss,Germany with special filter sets for FISH andmulticolor FISH. It has IKAROS software for

Karyotyping and ISIS software for FISH fromMetasystems,Germany.Thesystemalsohasfacilityofautomatic spot counting for FISH analysis forhematological malignancies and solid tumor usingMetacytesoftware.Ithas4reviewstations.Moreover,the division also has 4 other systems fromMetasystems, Germany. In addition to Karyotyping,FISH (Fluorescence in situ hybridization), M-FISH(multicolor FISH) and generation of custom madeFISH probes from Bacterial artificial chromosomesalso provides precise chromosomal breakpointmapping in leukemia as well as in solid tumorpatients. For FISH automation, hybridization anddenaturation chamber (Thermobrite, Vysis, USA)helps in rapid and consistent FISH assays.DepartmenthasalsostartedsolidtumorFISHforHer-2neuforclinicaldiagnosticwork.

Professor & Head: Dr. Prabhabhai PatelSenior Scientific Officer & In Charge: Dr. Pina Trivedi

Research Assistant: Dr. Dharmesh PatelJunior Research Assistants: Darshita Patel, Mahnaz Kazi


71


Conventional Cytogenetic study of leukemia from bone marrow/Peripheral Blood

1159

FISH tests for following genetic rearrangements:

Translocation 9;22 807



Translocation 16;16/inversion 16 233

Rearrangements of 5q(two different loci)

44

Rearrangements of 7q(two different loci)

40

Copy number of X &/or Y 79

11q MLL 81


Her-2 Neu FISH 86

AcademicActivities:TheLabenrolledgraduateandpost-graduatestudentsfromuniversitiesacrossIndiaforobservership,projectworkanddissertation.Staffof the Cytogenetic Laboratory is involved in M.Sc.Cancer Biology course for teaching and practicalwork. Cytogenetic Laboratory also enrolled PhDstudents with Gujarat University for dissertation.

Weekly seminars are also conducted in theLaboratorybystaffmemberstodiscussrecenttrendsincytogeneticcancerresearch.

Major Achievements: Ms. Darshita Patel, JuniorResearch Assistant, received first prize for oralpresentation in National Conference on NewHorizons inCancerBiologyatAMA,AhmedabadonMarch16-17,2018.

Ms.DharaBhimani,JuniorResearchFellow,receivedsecond prize for poster presentation in NationalConference on New Horizons in Cancer Biology atAMA, Ahmedabad on March 16-17, 2018. She alsoreceivedSilverMedalforDr.T.B.PatelYoungScientistAwardcompetitiononHospitalDayCelebrationsonFebruary3,2018.

Ms. Mahnaz Kazi, Junior Research Assistant,received third prize for poster presentation inNational Conference on New Horizons in CancerBiologyatAMA,AhmedabadonMarch16-17,2018.

ConferenceOrganized:NationalConferenceonNewHorizonsinCancerBiologywasorganizedonMarch16-17,2018atAhmedabadManagementAssociation.Dr.PinaTrivediwasOrganizing Secretary andDr.DharmeshPatelwasTreasurer.Thecorecommitteemembers were Darshita Patel, Mahnaz Kazi, PriyaVarma,DharaBhimani,NehalPatel,KhushbooJoshi,andVagmiParmar.

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The Scientific Research Committee (SRC) functionsthroughout the year to promote, facilitate andmaintainthebasicandappliedresearchinthefieldofcancerunderthechairmanshipofDr.RakeshVyas,Incharge Director (up to December 2017),Dr.ShashankPandya,InchargeDirector(fromJanuary2018)andMember-SecretaryDr.AshaAnandoftheScientific Research Committee. All the researchactivitieswerescrutinised,approvedandmonitoredbytheScientificResearchCommitteeandalsobytheEthicsCommittee,bothofwhichmetregularlyeverythreemonthsorearlier,ifneeded.AttheSRCmeeting,scientific details and other routine issues arediscussed. The office bearers of Scientific ResearchCommitteealsometintheyearseveraltimesasandwhenrequired.

At the annual meeting, in the presence of invitedexperts,allthenewproposalsaswellastheongoingprojects were discussed and were approved with

budgetaryrecommendations.AnnualMeetingoftheScientific Research Committee was held once.However,therewereasapartofthescientificreviewcommittee,6scientificmeetings(July12,September30,October10,andDecember13,2017,andJanuary10,2018)wereheld.TheEthicsCommitteeMeetings(April 29, July 15, and September 23, 2017, andJanuary13,2018)wereheldunderthechairmanshipof Hon'ble Justice Shri Bankim Mehta, ShriNarayanbhai Patel, and Member-Secretary Dr.Shilin Shukla. Invited members wereDr. RakeshVyas (April - December), Dr. Shashank Pandya(January onwards) Shri Kshitish Madanmohan,Dr.AvaDesai,Dr.BhavnaShah,Dr.R.K.Dikshit,Dr.Amar Vyas, Shri Himanshu Patel, Ms. BhagvatiPatel,Ms.HansaJoshi,Dr.(Col.)YashvantJoshi,Dr.GeetaJoshi,Dr.KiranKothari,Dr.AshaAnand,Dr.Prabhudas Patel, Dr. Hemangini Vora and Dr.FrankyShah.

M. Educational Activities

The Institute is engaged in various types ofeducational and training programmes, like (M1)ActivitiesoftheScientificResearchCommittee,(M2)Clinical Research Meetings, (M3) ComplementaryTraining Programme to Formal Education, (M4)

Formal Educational Courses, (M5) GCS ResearchJournal, (M6) Hospital Day Celebration, (M7)ProfessionalTrainingtoDoctorsandScientists,(M8)ProfessionalTrainingtoParamedics,and(M9)StaffTraining-IntramuralandExtramural.

(M1)ActivitiesoftheScientificResearchCommittee


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(M2)ClinicalResearchMeetings

Regular bimonthly academic and scientific clinicalndmeetingsarearrangedatCamaHall,GCRI,on2 and

th4 Saturdays. Dr. Franky Shah, Senior ScientificOfficer,andDr.SonalPatel,AssociateProfessor,isthecoordinatorofthisactivityandduringtheyear,alargenumber of clinical and research subjects arediscussed.Total15Clinicalpresentations,17Journalpresentations, and 1 Library presentation were

discussedattheClinicalMeetingsfromApril2017toMarch2018.Dr.DipikaPatel,AssociateProfessorofAnaethesiology and Dr. Bijal Patel, AssociateProfessor of Gynaecological Oncology are thecoordinators of Mortality Morbidity Case Meeting,and 11 Mortality Morbidity Case Meeting werediscussedattheClinicalMeetingsfromApril2017toMarch2018.

(M3)ComplementaryTrainingProgrammetoFormalEducation

GCRIallowsitsinfrastructuralfacilitiesandeducativetalenttobeusedbyothereducationalInstitutionstogiveprofessionaltrainingtotheirstudents,whocomefor observership, fellowship, project work,

dissertation work, PhD work, apprenticeship, etc.Total2253studentsfrom138institutionshadtakenbenefit of learning and training facility andopportunityprovidedbyus.

(M4)FormalEducationalCourses

TheinstituteisaffiliatedtotheBJMedicalCollegeandGujarat University, Ahmedabad, for subspecialtyteaching in the subjects of Medical and SurgicalOncology (DM and MCh courses) as well aspostgraduate teaching in subjects like Pathology,Radiodiagnos is , Gynaeco log ica l Oncology,

AnaesthesiologyandRadiotherapy(MD,DCP,DMRE,DAcourses).TheInstituteisalsorecognizedforMScin Cancer Biology, MPhil in Life Sciences and PhDdegree from Gujarat University (Life Sciences andMedicalMicrobiology).

(M5)GCSResearchJournal

AsGCSResearchJournal,academicandresearchworkofResearchDivisionsandClinicalDepartmentsoftheGujarat Cancer and Research Institute regularly

publishedbyGCS.Dr.AshaAnand,Dr.PariseemaDaveandDr.NanditaGhoshweretheeditorsofthebulletin.

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(M6)HospitalDayCelebration

EminentNationalScientistswerehonouredwithDrT.B. Patel Oration Award and Shri Ramniklal J.KinarivalaCancerResearchAward.YoungScientists,Clinical Departments and Research Divisions wereencouragedwithDrT.B.PatelResearchMedals,Smt.Vibha Mehta and Smt. Vimla Agrawal RotatingTrophies. Shri Madanmohan Ramanlal GCRILuminary Award is created by the Gujarat CancerSocietywithgenerousdonation fromMadanmohanfamilyforSeniorGCRIanforhisvaluablecontributiontoGCRI.

TheHospitalWeekcelebrated fromJanuary27andFebruary3, 2018with a festive and jubilantmood.Themaineventsincludedscientificawards,orationsandfelicitationsinthefieldofCancerResearch,GCRILuminary Oration and cultural programme by thestaffmembers.Thefollowingweretheawardees:

DrT.B.PatelOrationawardedtoDrAnilD’cruze,Director, TATA Memorial Hospital, Mumbai. Hedeliveredalectureon‘Balancingclinicalpracticeandresearchtowardsbetteroutcomes’.

LateShriRamniklalJ.KinarivalaCancerResearchAwardconferredtoDr.DKarunagaran,Professorof Biotechnology, IIT Madras, Chennai . Hedeliveredalectureon‘RegulationofmiRNAsandtheirtargets in cancer cells: Implications for cancertherapy’.

Shri Madanmohan Ramanlal GCRI LuminaryAward conferred to Dr. Shilin N. Shukla, FormerDirectorofGCRI,forhisvaluablecontributiontoGCRIandinhisdisciplineMedicalOncology.

Shri Punamchand Parmar, IAS, Additional ChiefSecretary, Health and Family Welfare Department,Government of Gujarat, was the Chief Guest of theHospital Day Function. Shri Pankaj R. Patel,ExecutiveChairman,wastheGuestofHonouroftheFunction.

Dr. Jayanti Ravi, Principal Secretary, HealthDepartment,GOG,wastheChiefGuestattheHospitalDay Annual Function at Sardar Vallabhbhai PatelSmarakHall,ShahibaugonFebruary2,2018.

DrT.B.PatelOrationawardedtoDrAnilD’cruze,Director,TATAMemorialHospital,Mumbai.

ShriPunamchandParmar,AdditionalChiefSecretaryandShriPankajR.Patel,ExecutiveChairmanatthefunction.


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ShriRamniklalJ.KinarivalaCancerResearchAwardconferredtoDr.DKarunagaran,IITMadras,Chennai.

ShriMadanmohanRamanlalGCRILuminaryAwardconferredtoDr.ShilinN.Shukla,FormerDirectorofGCRI.

VimlaAgrawalTrophy(ClinicalDepartment)formaximumPublications

GynaecologicalOncology-First Radiotherapy-Runners-up

TumorBiologyLab

VibhaMehtaTrophy(ResearchDivision)formaximumPublications


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Clinical Wing Research Wing

Gold MedalDr. Akshay ShivchandMedical Oncology

Dr. Kinjal GajjarTumor Biology Lab

Silver MedalDr. Abhishek KumarPathology

Ms. Dhara LadaniCytogenetics Lab

Bronze MedalDr. Jaymin Shah Muskuloskeleton Oncology

Ms. Ridhi GokaniMolecular Oncology Lab

DrT.B.PatelResearchMedalsawardedtoJuniorScientists


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EntertainmentProgrammeonHospitalDay

Dr.JayantiRavi,PrincipalSecretary,HealthDepartment,GOG,attheFunction.


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Medical laboratory technology is oneof the largestandmost importantprofessions thatprovidealliedhealthcare.TheTechniciansareskilledscientistwhoperformtestthataidinthediagnosisandtreatmentofdiseases.Asvitalmemberofthehealthcareteam,theyassist physician during diagnosis and treatment ofpatients.

The main objective of the course is to traintechnologists and help them to get ampleopportunities in a variety of laboratory setting. Asthere isahealthydemandofwellqualifiedmedicallaboratory technologist, they cangetplacements inhospitals and laboratory settings, public healthfacilities, industrial laboratory and in colleges.Incharge Director Dr. Shashank Pandya is theChairperson, and Dr. Priti Trivedi, Professor ofPathology is the Coordinator of the course. All thedoctors of the Pathology, Microbiology and BloodBankareinvolvedintheteachingactivities.Alljuniorandseniortechnologistsareinvolvedinthepracticaltrainingofthestudents.

Itisoneyearfulltimecourse.BScMicrobiologyandBiochemistry students are eligible for the course.Total fiftystudentsareselectedon thebasisofBScresultsandentrancetestresults.

MLT course of training is divided in to two parts:TheoryandPracticals.Total80lecturesaretakenbytheteachingstaffdoctorstocoverthesubject.Sofarpracticals are concerned, each students has twomonthsrotationineachsubspecialtylikeBloodbank,Haematology, Biochemistry, Microbiology (clinicalmicrobiology and immunology), Cytology andHistology. Each student has to work with atechnologistoneachtableinthecourseofeachsinglerotation where they are given adequate technicalknowledge.Studentsarealsoexpectedtocompleteallthepractical’sandprepareajournalwhichattheendoftherotationmustbesignedbyaseniordoctor.Theyhave to submit feedback formwhich includes theirworkefficiency,sincerityandregularity.Thisformisfilledupbytechnologistandinchargedoctoratendofeachrotation.Therearetwotypesofassessmentofthe students, day to day assessment and regularassessmentattheendoftheyearinformoftheoryandpracticalexamination.

Alltheteachingactivities,MLTcourseexamschedulesand MLT course related activites are monitor byCoordinator.CoordinatorreportsalltheactivitiesofMLTcoursetotheChairpersonandCo-chairpersonsregularly.

(M7)ProfessionalTrainingtoDoctorsandScientists(Conferences,Workshops)

No. Workshop/Conference Organizers Date

1 A Workshop on Opioids availability in Gujarat Dr. Priti SanghviPalliative Medicine

April 11, 2017

2 CME on Head, Face & Neck Oncology Workshop Dr. Hitesh RajparaRadiodiagnosis

December 10, 2017

3Basic Life Support & Advanced Cardiac Life Support Workshop

Dr. Jayshree ThakkarDr. Kinna ShahAnaesthesiology

January 15, 2018

4National Conference on New Horizons in Cancer Biology

Dr. Pina TrivediCytogenetics

March 16-17, 2018

(M8)ProfessionalTrainingtoParamedics(TechnologicalCourses)


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(M9)StaffTraining–IntramuralandExtramural

No Name DesignationDivision/

DepartmentSubject of Training and Place Date

1 Dr. Jayshree ThakkarDr. Priti Patel

ProfessorAssistant Professor

Anaesthesiology MCI Nodal Centre Med Edu Training, Revised Basic Workshop with ATCOM Module (MET)

11-13 Sep,2017

2 Dr Dipika PatelDr. Priti Patel

Associate ProfessorAssistant Professor

Fiberoptic & Videoscopic Airway Management Training, Baroda

7-9 July, 2017

3 Dr Dipika Patel Associate Professor Research methodology and biostatistics by ICMR-NICPR, Ahmedabad

23 July, 2017

4 Dr Dipika Patel Ultrasonography in Neuroanaesthesia, Chandigarh

6 Jan,2018

5 Dr Kinna ShahDr. Priti Patel

Assistant Professors USG guided Blocks, ISACON, Ahmedabad

5 Oct,2017

6 Dr. Prabhudas Patel Prof & Head Cancer Biology Successfully completed NABH Assessors Training for “Ethics Committee Accreditation” and now empanelled as NABH Assessor for Ethics Committee Accreditation” Mumbai

15-17 Dec, 2017

7 Dr. Hemangini Vora Associate Professor Immunohaematology Bioinformatics Leads in Gujarat-BLG-2017; Advances in Computer Aided Drug & Discovery” at, Gujarat University, Ahmedabad

21-22 Dec, 2017

8 Ms. Kruti Mehta Junior Research Fellow

Molecular Oncology Lab

9 Vaishali Ravani Statistician DCOMR Training workshop for staff of Hospital Based Cancer Registries and Patterns of Care and Survival Studies in Regional Cancer Centers at National Cancer Registry Programme, NCDIR-ICMR, ICMR Complex, Bengaluru

21-22 Mar, 2018

10 Mr. Viral Parmar Social Worker

11 Dr. Jahnvi Gandhi Junior Lecturer Pathology Uro-oncology and Uro-Pathology Training, Nadiad

22-23 Dec, 2017

12 Dr. Kunal Bhardwaj Consultant Gastroenterologist

IVTC Received Training of Advanced EUS, Meerut

04-12 Feb, 2018

13 Dr. Sonal Patel Shah Associate Professor Radiation Oncology nd2 ESTRO-AROI GYN Teaching Course, Lucknow

8-11 Mar, 2018

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Clinical Services: (A) At Community OncologyCenter,weprovidehealthcheck-upservicestohealthawarepeople.Thesehealthcheck-upplansaremainlyfocusedoncancerrelatedscreeningteststodiagnosedifferenttypesofcancersincommunity.PAPtestandmammographyarethekeyfeaturesofhealthcheck-up plans to diagnose cervical cancers and breastcancersinwomen.Consultationbyphysician,cancersurgeonandgynaecologistarepartofheathcheck-upplans.

(B)Hospiceservices:20Beds,in5cottagesincampus,areallottedtothecancerpatientsinadvancedstageofdisease.Theyaregivenpalliativecarebynursingstaff.Counselling of patients and caregiver is done toaddress their psychosocial and spiritual issues.Regular follow-up for OPD patientsmany activitiesare planned to rehabilitate them. The aim is toimproveQualityofLifeofpatientsandfamily.

N. Lion Bharat Kshatriya Community Oncology Centre

A.HealthCheckup

Health Checkup (male) 1188

Health Checkup (female) 3529

Patients from Urban Health Center 0361

Total 5078


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Academic Activities: Hands on Training in Pain&PalliativeCareaspartofcourseIACA,PalliumIndia,GCRIwastakenupatHospicefromNovember20toNovember30,2017for2doctorsand4nurses.

OnedayprogramonCommunicationSkillinPalliativecarewasheldonDecember3,2017,aspartofIAPCCertificateCourse.23doctorsandnursesparticipatedinthistraining.

Hands On Training in Pain & Palliative Care underNationalProgramforPalliativeCare,GovtofGujaratwasorganizedonDecember13,2017for30doctorsandNursesfromsixdistrictsofGujarat.

Onco – Caregivers Certificate Course run bySanjeevani,TISS,GCRI&GCSwasorganizedfromJune2017 to November 2017 for 20 candidates. Thesecond batch of the same course has been startedfromMarch8,2018for19candidates.

HandsonTrainingwastakenup for9MScNursingstudentsofIKDRCNursingSchoolfromFebruary20toMarch10,2018atHospice.

MajorAchievement:Dr.GeetaJoshi,ChiefExecutiveOfficer,FormerProf&Head,PalliativeMedicine&FormerDyDirector,GCRI,is honoured with ‘SAARC Country Award forExcellence&LeadershipinPalliativeCare’byCancerAid Society, on December 8, 2017. She delivered,

rdPresidentialKeyNoteAddress,during33 ISSPCONon February 2, 2018 at New Delhi. She has beenawarded Honorary Fellowship in Pain by IndianSocietyforTheStudyofPain.

PublicServicesOffered:A.CancerExhibition:CommunityOncologyCentre ishaving `PRAYAS` - a

stpermanent cancer exhibition located on 1 floor ofmainbuilding.Everyyearnumberofstudents fromschool, nursing colleges and medical colleges takeeducational visit of this exhibition. Exhibitionprovidesbasicinformationregardingcommoncancerin men and women, its Signs and symptoms,diagnosis,preventionandtreatment.Italsoconveysmessagetothecommunitypeopleonimportanceofhealthylifestyle,healthyfoodhabits,quittobaccoandalcoholconsumption,avoid junk foodandsmoking,etc.Thesemassagesareconveyedtothevisitorsbyattractive poster, audio-visual presentation andawarenesstalk.

TestTotal No. of

PatientsBenign lesions

Suspicious malignancy

Confirmed Malignancy

(FNAC/Biopsy)

Mammography 3144 1247 72 40

X – Rays Chest 4375 - 05 -

USG Abdomen 4211 - 54 -

PAP Test 2911 - 01 01

FNAC at COC 25 - - 13

A.Hospice

Hospice Admission 326

Hospice Discharge/DAMA 253

Hospice Death 42

Transfer to GCRI 20

Exhibition Visitor Total : 7422

• Medical – Para Medical 2422

• School & Colleges 1868

• Others NGO Staff & Society 3132


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E. Tobacco awareness camp was organized onFebruary 27, 2018 for 50 workers of SamarthDiamondFactoryatCOC.Theyvisitedtheexhibitionandwereexaminedbysurgicaloncologisttoruleoutoralcancer.

F.LaughterYogaSessionwasconductedonJanuary17,2018byArchanaRaofromBengaluruforHospicepatients, care givers and COC staff. Total 55participantsjoinedthesession.

StaffTrainingatCommunityOncologyCenter:5Strainingwas given to staff of COC byDr YashavantJoshi, Chairman,UnnatGramsamajNirmanKendra,Vadodara. The training was regarding officearrangements, etiquette, and clean and tidy workplace.

B. Breast Cancer Awareness and PAP Test for 250womenofBPLfamilieswastakenupwithsupportof‘Nalini Shah Cancer Fund, Anekant CommunityCenter’ LosAngelesUSAinOctober–Breastcancerawareness month. This program will be carriedforward with support from ‘Vanitaben Mehta’donationtosupportmammographyandPAPtestin150womenofBPLfamilies.

C. Cancer and tobacco awareness Camp wasorganizedduring‘FamilyDay’ofRexrothBoschIndiaLtd.onOctober8,2017atSanand.Morethan2500participants were encouraged for health check-upandquittobacco.

D. Vyasan Mukti program at Chadasna GamCommunity was taken up by COC Staff, near KobaCircle,onDecember25,2017.

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O. Community Out-Reach Activities

CancerAwarenessCamps:22Camps18Places

Natha t an imadh i , Ha th l a V i l l a ge , Dwarka(04/04/2017); Bombay Chowk, Gujarat HousingBoard,Bapunagar(29/05/2017);ModiNagarVistar,Chamanpura(30/05/2017);ParmeshvarnaChhapra,Asarwa (31/05/2017); Kameshwar Mandir, Gadat(03/06/2017) ; The Meg ica l Touch Event ,Gandhidham, Kutch (02/07/2017); CommunityHealth Centre, Lalpur, Jamnagar (12/11/2017);S h a rd a J h a t k i a H o s p i t a l , G o nd a l , R a j ko t(26/11/2017);JayshreePropackPvtLtd,Changodar,Ahmedabad (13/12/2017); Gujarat Counsil on

Science and Technology, Sciency City, Ahmedabad(27/12/2017 to 31/12/2017); Central AccountGeneral, Navrangpura, Ahmedabad (11/01/2018);Civil Hospital, Mehsana (03/02/2018); AOGIN,Popatiyavad, Gomtipur, Ahmedabad (09/02/2018);AOGIN Sarangpur, Ahmedabad (12/02/2018);AOGIN, Amraiwadi, Ahmedabad (28/02/2018);PanditDeenadayalUpadhyaya MedicalCollege,CivilHospital, Sadar, Rajkot (11/03/2018); HanumantHospital,Mahuva,Bhavnagar(11/03/2018);ShurvirNathaBhagatSevaSamiti,Porbandar(18/03/2018)

CancerDetectionCampswithGCRISanjeevaniRathCamps:48Camps48Places

ShriA.D.ShethHospital,Ranpur,Botad(2/4/2017);Annapurna Trus t , Modasa , S abar Kan tha(09/04/2017); Somnath Secondary And HigherSecondary School, Dorasa, Kodinar (14/04/2017);Kashiba Hospital, Vatva (16/04/2017); JillaPanchayat, Bopal, Ahmedabad (17/04/2017); SubDistrict Hospital, Deesa (19/04/2017); JillaPanchayat, Detroj, Ahmedabad (22/04/2017); JillaPanchayat, Bavla, Ahmedabad (21/04/2017); JillaPanchayat, Dhandhuka, Ahmedabad (23/04/2017);J i l l a P a n c h aya t , V i r amgam , A hmed ab ad(26/04/2017); JillaPanchayat,Sanand,Ahmedabad(27/04/2017); Jilla Panchayat,Dholka, Ahmedabad(29/04/2017);JillaPanchayat,Mandal, Ahmedabad(30/4/2017); Dev Daya Kelavani Mandal, Tankara,Morbi (13/05/2017); Dev Daya Kelavani Mandal,Lajai,Morbi(14/05/2017);RotaryClubofGandevi,Navasari(04/06/2017);MaheshwariHall,KanseriyaRoad, Palanpur (18/06/2017); RamkrushnaVidhyalaya, Maninagar, Ahmedabad (02/07/2017);Shri Chhotubhai Patel Hospital and CommunityHealth Centre, Sinor, Vadodara (05/07/2017); Shri

SwaminarayanGurukul,Gandhinagar(23/07/2017);A.M.C. Urban Health Center, Gota, Ahmedabad(09/08/2017);A.M.C.UrbanHealthCenter,Isanpur,Ahmedabad(10/08/2017);MamtaHospital,GodhraHighway, Lunawada (19/08/2017); Cantonment,Shahibaug,Ahmedabad(16/09/2017);AdarshNivasSchool, Julasan (23/09/2017); Civil Hospital,Mahesana (30/09/2017); High Court , Sola,Ahmedabad (26/10/2017); Palanpur FemaleHospital, Palanpur (05/11/2017); CommunityHealth Centre Lalpur, Jamnagar (12/11/2017);P r imary Hea l th Cen t re , L inch , Mahesana(23/11/2017); Sharda Jhatkia Hospital, Gondal(26/11/2017);ECHSPolyclinicC,NearAirPortCircle,Ahmedabad (16/12/2017); Kadi SarvaVidhyalaya,Gandhinagar (20/12/2017); Wings Hosptial, 2Sumanga lam Soc ie ty, Tha l te j , Ahmedabad(24/12/2017); Malpur Road, Modasa, Arvalli(07/01/2018);Sadra,Kadi (10/01/2018);Pansora,Umreth (17/01/2018); Ganeshpura, Mehsana(20/01/2018); A.Y. Dadabhai Technical Institute,Kosamba, Surat (25/01/2018); Village Rupal,

The GCRI along with the Gujarat Cancer Societyorganisesregularcancerdetectioncampsandcancer

CancerDetectionandBloodDonationCamps,CancerAwarenessExhibition

awarenessexhibitioninvariouspartsoftheState.


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CancerDetectionCamps(WithoutSanjeevaniRath):9Camps9Places

Vallabhacharyaji Trust Hospital, Maninagar,Ahmedabad (21/04/2017); Shree Maher SuprimeCounseling, Ratya, Porbandar (14/05/2017);Indumadhu Hospital, Chandi Bazar, Jamnagar(28/05/2017) ; Government Schoo l Pa la j ,Gandhinagar (06/12/2017); Madhystha Jail ,

Sabarmati, Ahmedabad (10/01/2018); AOGIN,Popatiyavad, Gomtipur, Ahmedabad (09/02/2018);AOGIN Sarangpur, Ahmedabad (12/02/2018); CivilHospi ta l , Mehsana (21/02/2018) ; AOGIN,Amraiwadi,Ahmedabad(28/02/2018)

Civil Hospital, Mehsana (23/01/2018); NutanMedical Collage, Visnagar (25/01/2018); PanditDeenadayal Upadhyaya Medical College, CivilHospital, Sadar, Rajkot (11/03/2018); Red CrossBhavan, Police Line Road, Dahod (17/03/2018);

AMCO B a n k , N a v r a n g p u r a , A hm e d a b a d(07/04/2017); Sardar Chowk, Krishnanagar,(07/04/2017), Mangaldip Party Plot, Amraivadi,Ahmedabad ( 16/04/2017 ) ; AMC S choo l ,Ambikanaga, Odhav, Ahmedabad (20/04/2017);Mangaleshvar Mahadev, Aavkar Hall, Maninagar,Ahmedabad(28/05/2017);CityCorner,ShukunMall,S.G. Highway, Ahmedabad (09/06/2017); NickyHospital, Shree Ugti Corporate Park, Kudasan,Gandh inagar, (11/06/2017 , 31/08/2017 ,03/12/2017,04/03/2018);RoomNo63,GCRI,CivilH o s p i t a l C am p u s , A s a r v a , A hm e d a b a d(14/06/2017);ArjunTower,BhuyangdevCrossRoad,Ahmedabad (18/06/2017); J.K. Lakshmi Cement,Moti Bhoyan, Dist.Gandhinagar (20/06/2017);SamuhikArogyaKendra,GamDhansura,Dist.Arvalli(28/06/2017);UtkarshFoundation,GovardhanFlatsMeghaninagar,Ahmedabad (02/07/2017);Reliance

Lions Club Zalod (18/03/2018); SindhubhavanHospital, Kubernagar, Ahmedabad (21/03/2018);Charodi, Gandhinagar (25/03/2018); SiddhpurCancerCareCentre,Siddhpur(27/03/2018)

Township Moti Khavdi, Jamnagar (05/07/2017,28/12/2017); P.K. Kothavala Arts College, RajmahalRoad,Patan(11/07/2017);ParinFurniture,GondalRoad,Rajkot (15/07/017); InfoAnalyticalPvt.Ltd.,S.G.Highway,Ahmedabad(21/07/2017);GamJadar,Ta.Idar,DistArvalli,(23/07/2017),H.K.ArtsCollege,Ashram Road, Ahmedabad (11/08/2017), IIM,Ahmedabad(18/08/2017);ModasaArtsCommerceCollege, Dist , Arvalli (06/09/2017); DaliyaInstitute,Gam Kanera, Dist Kheda (13/09/2017);Swaminarayan Mandir, Viratnagar, Ahmedabad(14/10/2017); Gokul Education, Siddhpur, Dist.Patan (18/10/2017); Sardar Patel Sewa Samaj,Ellisbridge Bridge, Ahmedabad (31/10/2017);Bansar i Par ty P lot , Jodhpur Revar, Morbi(03/11/2017); Kosal Energy Pvt. Ltd., Bavla, Dist.Ahmedabad (10/11/2017); Kalphai House,Nr.Karnavati Club, S.G. Highway, Ahmedabad

CancerDetectionCampswithSiddhpurSanjeevaniRath:8Camps8Places

BloodDonationCamps:Camps64andPlaces57

Gandhinagar(02/02/2018);CivilHospital,Mehsana(03/02/2018);GoenkaEyeHospital,VadhwanRoad,Limbdi (04/02/2018); Oswal Centre, Jamnagar(10/02/2018, 11/02/2018); Manibabhavan,Maninagar (25/02/2018); Samajratna Chinubhai

Manjula Bhagini Mitramandal, Sarvodaya Society,Palitana(04/03/2018);HanumantHospital,Mahuva,Bhavnagar (11/03/2018); SMC Air Firce Station,VayushaktiNagar,Gandhinagar(15/03/2018)


85

Dehgam, (21/01/2018); Gor no Kuvo, ManinagarEast, Ahmedabad (22/01/2018); L.M.PharmacyCollege Navrangpura, Ahmedabad (23/01/2018);Troikka Pharmacutical Ltd, Bodakdev Ahmedabad,(25/01/2018); Sindhi Social Circle Bunglow Area,Ahmedabad(26/01/2018);N.V.PatelCollegeNarodaGam Ahmedabad (26/01/2018); Radhe Comlplex,Sankheshvar(27/01/2018);K.B.PatelInstitute,KadiCampus, Gandhinagar (01/02/2018); NikanthMahadev Hall, Gam Rupal, Dist. Gandhinagar(02/02/2018);KathvadaPrathmikShala,Kathvada,Ta Daskoi (04/02/2018); Punitnagar Party Plot,Ghodasar, Ahmedabad (08/02/2018); KripalAshram,Nr.BhadvatNagar,Maninagar,Ahmedabad(11/02/2018); Swaminarayn Temple Nikol ,Ahmedabad (23/02/2018); Khandal Vipra Samaj,Kankaria, Ahmedabad (25/02/2018); PrahladsinhHall, Amraivadi, Ahmedabad (25/02/2018); Govt.Polytechicnic,Ambavadi,Ahmedabad(27/02/2018)

(10/11/2017); Sardar Farm, Yogi Chowk, Surat(12/11/2017); Narota House, Vatva GIDC, Vatva,Ahmedabad (05/12/2017); Gala Villa Aqua,GokulDham,Shantipura,Dist.Ahmedabad(17/12/2017);Nirma University, S .G.Highway, Ahmedabad(20/11/2017, 21/11/2017); St.Xaviers College,Navaranpura, Ahmedabad (25/11/2017); NirmaHouse Incometax, Ashram Road, Ahmedabad(08/12/2017); Neptune House, Navrangpura,Ahmedabad (17/12/2017); Gam Chalda, Dist.Surendranagar (19/12/2017, 20/12/2017); ShreeParty Plot, GumaRoad, Ahmedabad (24/12/2017),Jalaram Satsang Mandal, Mukhini Vadi, Isanpur,Ahmedabad(24/12/2017);KankariaKarnivalGate-1, Ahmedabad (25/12/2017, 25/12/2017); ShreejiB a g Pa r t y P l o t , R a ndh e j a , G a ndh i n a g a r(31/12/2018); The Gyme, Surdhara Circle, Thaltej,Ahmedabad(06/01/2018);SaidhamSolaMandir,S.GHighway, Ahmedabad (07/01/2018); S.T. Depo

86


P. Functioning of Committees

Internal Management Committee

Dr. Shashank Pandya Chairman, Incharge Director

Mr. Narendrasinh Chavda Member, Hospital Administrator

Dr. Bhavna Shah Member, Professor & Head Anaesthesiology

Dr. Priti Trivedi Member, Associate Professor of Pathology

Dr. Priti Sanghvi Member, Professor, Palliative Medicine

Purchase Committee

Mr. Prashant Kinarivala Chairman

Dr. Shashank Pandya Member Secretary, Incharge Director

Mr. Kshitish Madanmohan Member

Mr. Divyesh Radia Special Invitee

Mr. Kaushik D. Patel Special Invitee

Mr. Narendrasinh Chavda Special Invitee

GCRI Website Committee


Mr. Raju Parikh Member Secretary, Head IT Section

Ms. Meena Bhatia Coordinator, Officer on Special Duty, Administration


Dr. Dhruti Desai Member, RMO

Dr. Pariseema Dave Member, Professor, Gynaecological Oncology

Dr. Hemangini Vora Member, Associate Professor, Cancer Biology

Dr. Pooja Nandvani Patel Member, Associate Professor, Radiotherapy

Dr. Foram Patel Member, Assistant Professor, Microbiology

Mr. Ratnakar Shrotriya Member, Medical Record Keeper, IT Section

Mr. Rushi Patel Member, Chief Photo & Publicity Section

Mr. Jagdish Gohel Member, Assistant Librarian, Library Section

87


GCS Research Journal Committee


Dr. Asha Anand Editor, Professor & Head, Medical Oncology

Dr. Pariseema Dave Editor, Professor, Gynaecological Oncology

Dr. Nandita Ghosh Editor, Assistant Professor, Cancer Biology

Dr. Prabhabhai Patel Associate Editor, Professor & Head, Cancer Biology

Dr. Nayan Jain Associate Editor, Dean, Life Sciences, Gujarat University

Dr. U. Suryanarayan Member, Professor & Head, Radiotherapy

Dr. Shilpa Patel Member, Professor & Head, Gynaecological Oncology

Dr. Bhavna Shah Member, Professor & Head , Anaesthesiology

Dr. Hitesh Rajpura Member, Professor & Head, Radiodiagnosis

Dr. Dhaval Jetly Member, Associate Professor & Head, Pathology


Dr. Harsha Panchal Member, Professor of Medical Oncology

Govt. Scheme Implementation Committee


Dr. Janmesh Shah Member Secretary, Assistant Professor, Community Oncology


Dr. Dipak Rathod Member, RMO Class - I


Ms. Shivani Rajput Member, Financial Assistant, Account Section

Mr. Himanshu Patel Member, Medical Record Officer

Library Committee


Dr. Asha Anand Professor In-charge, Professor & Head, Medical Oncology

Ms. Nuri Kalita Member Secretary, Librarian


Dr. Bhavna Shah Member, Professor & Head, Anaesthesiology




Dr. U. Suryanarayan Member, Prof. & Head of Radiotherapy

Dr. Prabhabhai Patel Member, Professor & Head, Cancer Biology


Dr. Trupti Trivedi Member, Senior Scientific Officer, Cancer Biology

88


Fire Safety Committee


Mr. Divyaraj Jadeja Member Secretary, Electrical Engineer(Maintenance), Engineering Section



Dr. Jayendra Patel Member, Senior Scientific Officer, Cancer Biology

Mr. Jayapal Nair Member, PS to Director

Mr. Mahesh Ahir Member, Civil Engineer, Engineering Section

Mr. Sanjay Patel Member, Electrical Engineer, Engineering Section

Mr. Arpit B. Christian Member, Assistant Staff Brother, Nursing Section

Patient Care Evaluation Committee


Dr. Dhruti Desai Member Secretary, RMO

Mr. Divyesh Radia Member

Ms. Mona Darji Member, Matron Grade - I

Ms. Manisha Katara Member, Matron Grade - II

Disaster Management Committee


Ms. Mona Darji Member Secretary, Matron Grade - I






Mr. Sanjay Patel Member, Electrical Engineer, Engineering Section

Mr. Om Prakash Member, Nuclear Health Physicist, Nuclear Medicine

Mr. Divyaraj Jadeja Member, Electrical Engineer (Maintenance), Engineering Section


ICS Cancer Cure Fund


Mr. Bhadresh Shah Member Secretary, Accounts Officer


Dr. Apurva Patel Member, Professor, Medical Oncology


Dr. Janmesh Shah Member, Assistant Professor, Community Oncology

Mr. Himanshu Patel Member, Medical Record Officer

89


SC / ST Cell

Mr. Narendrasinh Chavda Chairman, Hospital Administrator

Ms. Mona Darji Member Secretary, Matron Grade - I


Dr. Rekha Solanki Member, Assistant Professor, Anesthesiology

Ms. Manisha Katara Member, Matron Grade – II

Mr. Vijaykumar S. Ninama Member, Biochemist, Blood Bank

Internal Complaints Committee

Dr. Pariseema Dave Chairperson, Professor, Gynaec Oncology

Dr. Hemangini Vora Co-chairperson, Associate Professor, Cancer Biology

Ms. Meena Bhatia Member Secretary, Officer on Special Duty, HR Section

Dr. Geeta Joshi C.E.O., COC Vasna

Mr. Narendrasinh Chavda Member (Legal), Hospital Administrator

Dr. Himanshu Soni Member, Associate Professor, Radiology


Ms. Pratima Desai Member, NGO, Social Worker (External)

Information Technology Committee


Mr. Narendrasinh Chavda Member Secretary, Hospital Administrator

Mr. Raju Parikh Assistant Member Secretary, Head IT Section

Mr. Haren Shah Hon. External IT Advisor (Invitee)



Mr. Ratnakar Shrotriya Member, Medical Record Keeper, IT Section

Women's Development Cell

Dr. Meeta Mankad Chairperson, Professor, Gynaec Oncology

Ms. Meena Bhatia Member Secretary, Officer on Special Duty, HR Section

Dr. Foram Patel Joint Secretary, Assistant Professor, Microbiology

Dr. Pooja Nandwani Patel Member, Associate Professor, Radiotherapy

Dr. Kinna Shah Member, Assistant Professor, Anesthesiology

Dr. Rima Kusumgar Member, Assistant Professor, Blood Bank

Dr. Franky Shah Member, Senior Scientific Officer, Cancer Biology


Ms. Shivani Rajput Member, Financial Assistant, Account Department

Ms. Ketki Kathiyara Member, Biochemist, Blood Bank

90


Committee to Review - Out Source Services

Mr. Narendrasinh Chavda Chairman, Hospital Administrator

Mr. Hitesh Bihola Member Secretary, HR Officer, HR Section



Ms. Meena Bhatia Member, Officer on Special Duty, Administration


Dr. Sanskar Dave Member, Assistant Hospital Administrator, Legal Section

Hospital Infection Control Committee


Dr. Parijath Goswami Member Secretary, Professor & Head, Microbiology Department

Dr. Bhavna Shah Member, Professor & Head, Anaesthesiology Department


Dr. Shilpa Patel Member, Professor & Head, Gynaec Oncology

Dr. Jayshree Thakker Member, Associate Professor, Anaesthesiology

Hospital Infection Control Committee


Dr. Parijath Goswami Member Secretary, Professor & Head, Microbiology




Dr. Jayshree Thakker Member, Associate Professor, Anaesthesiology

Institutional Review CommitteeDissertation/Thesis/Publication/Conference Presentation


Dr. Harsha Panchal Member Secretary, ( Clinical-Dissertation & Thesis), Medical Oncology

Dr. Nandita Ghosh Member Secretary, ( Research-Dissertation & Thesis), Cancer Biology

Dr. Trupti Trivedi Member Secretary, (Publications & Presentation), Cancer Biology

Mr. Narendrasinh Chavda Member ( Legal), Hospital Administrator

Mr. Kshitish Madanmohan Member (NGO representative, Social Worker), Secretary GCS

Dr. Amar Vyas Member, Department of PSM, BJMC

Dr. Bhavna Shah Member, Professor & Head Anesthesiology

Dr. Hemant Shukla Member, Professor, Surgical Oncology


Dr. Pariseema Dave Member, Professor, Gynaecological Oncology


Dr. Priti Sanghvi Member, Professor, Palliative Medicine



Dr. Himanshu Soni Member, Associate Professor, Radiodiagnosis

Dr. Trupti Patel Member, Assistant Professor, Pathology



91


Scientific Research Committee


Dr. Asha Anand Member Secretary, Professor & Head, Medical Oncology

Dr. Hemangini Vora Assistant Member Secretary, Associate Professor, Cancer Biology

Dr. Sonia Parikh Assistant Member Secretary, Associate Professor, Medical Oncology

Dr. Devendra Patel Member, Former Director, Professor Emeritus

Dr. Pankaj Shah Member, Vice President, GCS

Dr. Kirti Patel External Member, Dean, GCS Medical College

Dr. Shilin Shukla Member, Former Director, Professor Emeritus

Dr. Geeta Joshi Member, C.E.O., COC Vasna


Dr. Sunil Trivedi External Member, Professor, Senior Scientific and Academic Coordinator, Ahmedabad

Dr. Rakesh Rawal External Member, Professor, Life Science, Gujarat University, Ahmedabad

Dr. Sandip Shah Member, P.T. Associate Professor & Incharge of BMT

Dr. Shilpa Patel Member, Professor & Head, Gynaec Oncology



Dr. Parijath Goswami Member, Professor & Head, Microbiology



Dr. Priti Trivedi Member, Associate Professor, Pathology

Dr. Saumil Desai Member, Associate Professor, Radiology

Dr. Ava Desai Member, Professor, Gynaec Oncology

Dr. Bhavna Shah Member, Professor, Anaesthesiology


Dr. Nandita Ghosh Member, Assistant Professor, Cancer Biology

Dr. Trupti Trivedi Member, Senior Scientific Officer, Cancer Biology

Dr. Jayendra Patel Member, Senior Scientific Officer, Cancer Biology


Dr. Pina Trivedi Member, Senior Scientific Officer, Cancer Biology

92


Ethics Committee

Hon’ble Justice Shri Bankim N. Mehta (Rtd.) Chairman

Mr. Narayanbhai R. Patel Vice Chairman

Dr. Shilin N. Shukla Member Secretary

Dr. Prabhabhai Patel Assistant Member Secretary

Dr. Pariseema Dave Assistant Member Secretary

Shri Kshitish Madanmohan Member

Dr. R. K. Dikshit Member

Dr. Amar Vyas Member

Dr. Sonia Parikh Member

Dr. Franky Shah Member

Dr. Vishal Mishra Member

Dr. Suresh R. Shah Member

Mrs. Ila U. Vora Member

Mr. Jayeshkumar Solanki Member

Ms. Nuri Kalita Member

Serious Adverse Event Committee (SAE)(A sub-committee of GCRI/GCS Ethics Committee)


Dr. Pooja Nandvani Patel Member Secretary, Radiotherapist

Dr. Asha Anand Member, Medical Oncologist

Dr. Harsha Panchal Member, Medical Oncologist

Dr. Sonia Parikh Member, Medical Oncologist

Dr. Pariseema Dave Member, Professor, Gyanec Oncologist

Ethics Committee For Compensation(A sub-committee of GCRI/ GCS Ethics Committee)

Mr. Narayanbhai R. Patel Chairman, Senior Advocate

Dr. Pariseema Dave Member Secretary, Professor, Gyanecological Oncology


93


Annual Report Preparation Committee

Dr. Shashank Pandya Incharge Director, GCRI

Dr. Hemangini Vora Associate Professor, Cancer Biology

Dr. Trupti Trivedi Senior Scientific Officer, Cancer Biology

Mr. Rushi Patel Chief Photo & Publicity Section

Mr. Mahendrasinh Kumpavat Stenographer, Secretariat Section

NABL Accreditation Committee


Dr. Dhaval Jetly Member Secretary, Associate Professor & Head, Pathology

Dr. Biren Parikh Coordinator, Assistant Professor, Pathology

Dr. Parijath Goswami Member, Professor & Head, Microbiology

Dr. Priti Trivedi Member, Associate Professor, Pathology


Dr. Nandita Ghosh Member, Assistant Professor, Cancer Biology

Dr. Rima Kusumgar Member, Assistant Professor

Mr. Mahesh Ahir Member, Civil Engineer

Mr. Sanjay Patel Member, Electrical Engineer

Institutional Committee for Stem Cell Research (IC-SCR)

Dr. Kirti M. Patel Chairman, Dean, GCSMC

Dr. Apruva Patel Member Secretary , Professor, Medical Oncology

Dr. Franky Shah Assistant Member Secretary, Senior Scientific Officer, Cancer Biology

Dr. Sandip Shah Member

Dr. Maitrey Gajjar Member

Dr. Haresh Doshi External Member

Dr. Rakesh Rawal External Member


Dr. Amar Vyas Member

Ms. Ilaben Vora Member

94


Hospital Waste Management Committee


Dr. Parijath Goswami Member Secretary

Dr. Foram Patel Assistant Member Secretary

Ms. Mona Darji Member

Ms. Leena Bhatt Member

Ms. Veena Patel Member

Mr. Akshay Dave Member

NABH Accreditation Committee


Mr. Narendrasinh Chavda Co-chairman, Hospital Administrator

Dr. Parijath Goswami Co-ordinator, Professor & Head, Microbiology


Dr. Harsha Panchal Member, Professor of Medical Oncology




Dr. Priti Sanghvi Member, Professor of Palliative Medicine

Dr. Vikas Warikoo Member, Associate Professor, Surgical Oncology


Dr. Jayshree Thakkar Member, Associate Professor, Anaesthesiology

Dr. Rasna Tiwari Member, Associate Professor, Nuclear Medicine

Dr. Pooja Nandvani Patel Member, Associate Professor, Radiotherapy

Dr. Dhruti Desai Member, R.M.O

Dr. Rima Kusumgar Member, Assistant Professor, Blood Bank

Dr. Janmesh Shah Member, Assistant Professor, Community Oncology

Dr. Satish Pelagade Member, Radio Physicist

Dr. Sanskar Dave Member, Assistant Hospital Administrator

Dr. Manali Shah Member, Sr. Lecturer in Physiotherapy

Ms. Meena Bhatia Member, O.S.D., HR Section

Mr. Raju Parikh Member, Head IT

Mr. Samip Dave Member, Chartered Accountant, Account Section

Ms. Princy Christian Member, Bio Medical Engineer (Electronic Engineer)

Ms. Mona Darj Member, Matron Grade - I

Mr. Dipan Soni Member, Assistant Medical Sculpture, Prosthesis Section

Mr. Arpit Christian Member, Infection Control Nurse

Ms. Nuri Kalita Member, Librarian

Mr. Arvind Kotadia Member, Chief Pharmacist cum Store Officer


95


Q1. Conference Presentation - InternationalApril 2017-March 2018

Q. Research Activities

Sr No Name of Presenter Title of Presentation Name of Conference Date & Place

Pathology

1 Dr. Jyoti Sawhney Use of CD157 in high sensitive detection of paroxysmal nocturnal hemoglobinuria (Poster)

th79 Annual Meeting of Japanese Society of Haematology - JSH 2017

20-22 Oct 2017, Tokyo, Japan

Radiotherapy

2 Dr. Pooja Nandwani Patel Results of patients of locally advanced nasopharyngeal carcinoma treated with neoadjuvant chemotherapy or upfront concurrent chemoradiotherapy: A regional cancer centre experience (Poster)

European Society for Medical Oncology-ESMO ASIA 2017

17-19 Nov 2017, Singapore

Conference Presentation - NationalApril 2017 - March 2018


Clinical Carcinogenesis Lab

1 Dr. Trupti Trivedi Identification of site-specific potential biomarkers in patients with oral squamous cell carcinoma (Oral)

th7 International Conference on Translational Cancer Research

8-11 Feb 2018, Chennai

2 Dr. Sapna Singh Expression of miR-31, miR-26 and miR-21 in HPV infected head and neck cancer tissue samples (Oral)

Microbiology Lab

3 Dr. Nilima Desai Expression of FOXA1 and GATA-3 in breast cancer: A preliminary study (Poster)

International Symposium on Immunohistochemistry

4-7 Jan 2018, Tata Medical Center, Kolkata

Community Oncology Center, Vasna

4 Dr. Geeta Joshi Morphine availability- Indian perspective (Speaker)

rd33 Annual national Conference of Indian Society for Study of Pain-ISSPCON 2018

3 Feb 2018, New Delhi

5 Recent advances in management of Nausea-vomiting (Speaker)

th25 Indian Association for Palliative Care-IAPCON-2018

25 Feb 2018, New Delhi


96


Gynaecological Oncology

6 Dr. Pabashi Poddar Prognostic factors and survival in patients with carcinoma vulva treated with primary surgery (Poster)

Association of Gynecologic Oncologist of India-AGOICON 2017

27-29 Oct 2017, TMH Mumbai

7 Dr. Ava Desai Fertility preserving surgery in gynecologic oncology (Guest Lecture)

PROGRESS 2017 28-30 July 2017, Chennai

Medical Oncology

8 Dr. Pushpak Chirmade

Incidence, clinical outcomes and prognostic significance of FLT3 mutations in de novo non-APL AML-a study from Western India (Oral)

nd2 Indian Cancer Congress 8-12 Nov 2017, Bangalore

9 Dr. Rahul Kulkarni Clinical and epidemiological profile of endocrine tumors-an experience from regional cancer center from Western India

Asia Pacific Neuroendocrine Society

27-29 Oct 2017, Mumbai


10 Dr. Prabhabhai Patel Targeting aberrant glycosylation with nutraceuticals : A Promising approach to combat(Invited Speaker)

nd2 International Conference on Nutraceuticals and Chronic Diseases

1-3 Sep 2017, Goa

11 Dr. Prabhabhai Patel Molecular basis of oral cancer: focusing in Invasion and metastasis(Invited Speaker)

th7 International Conference on Translation Cancer Research

8-11 Feb 2018,Chennai

12 Dr. Kinjal D. Patel Influence of susceptibility variants on progression of breast cancer (Poster)

13 Ms. Bhoomi Tarapara Molecular mechanisms of Imatinib resistance in CML patients (Poster)

14 Ms. Riddhi Gokani Significance of HPV infection and VEGF expression in cervical cancer (Poster)

15 Ms. Kruti Mehta Significance of altered glycosylation in oral cancer progression (Poster)

Palliative Medicine

16 Dr. Shrenik Ostwal Megestrol acetate versus dexamethasone for appetite improvement in cancer anorexia- cachexia: A prospective randomized controlled pilot trial (Oral)

th 25 International Conference of Indian Association of Palliative care-IAPCON 2018

23-25 Feb 2018, AIIMS, Delhi


97


Radiotherapy

17 Dr. Pooja Nandwani Patel

Breast Cancer Session(Speaker)

Best of ASTRO 2017 13-14 May 2017, Vizag

18 Adaptive radiotherapy in gynecological cancers (Speaker)

Indo UK Oncology Summit 15-16 Dec 2017, Chennai

19 Management of nodal recurrence-Infield and outfield in pelvic cancers (Panelist)

Young Radiation Oncologists of India- YROC-2018

12-14 Jan 2018, New Delhi

20 Prostate cancer, treatment approach (Panelist)

‘CME’ on prostate cancer Jaipur, 2018

21 Dr. Maitrik Mehta Prostate cancer, treatment approach (Panelist)

Surgical Oncology

22 Dr. Abhijeet Salunke Giant cell tumor around knee joint nd62 Annual Conference of Indian Orthopedic Association IOACON 2017

26-31Dec 2017,Indore 23 Intercalary excision in femoral

diaphyseal tumors

24 Approach to benign bone tumors

25 Radiology in bone tumors P. G. Instructional Course 27 -30 Jan 2017,Indore

26 Dr. Jaymin Shah Recent advances in orthopedic oncosurgery

Late Dr Neeraj Sharma Oration lecture

18 Feb 2018,SIAMS Indore

27 Approach to bone tumors & biopsy principles

SIAMS Indore

28 Approach to benign bone tumors nd62 Annual Conference of Indian Orthopedic Association IOACON 2017

26-31Dec 2017,Indore

29 Pelvic bone tumorsrotationplasty

SIAMS Indore 18 Feb 2018,SIAMS Indore

Tumor Biology Lab

30 Dr. Kinjal Gajjar Deciphering the potential value of 5-FU metabolic enzymes in predicting prognosis and treatment response of colorectal cancer patients (Poster)

th7 International Conference on Translational Cancer Research

8-11 Feb, 2018, Chennai


98

Conference Presentation - StateApril 2017 - March 2018


Anaesthesiology

1 Dr. Chirag Rathwa Management of neostigmine induced ventricular fibrillation- case report (Poster)

th69 Annual Conference of IMA Gujarat State Branch-GIMACON

18-19 Nov 2017, Gandhinagar

2 A comparative study between intracuff air and intracuff alkalinizedlignocaine for decreasing post-intubation sore throat and emergence phenomena (Oral)


3 Dr. Sapna Singh Expression and localization patterns of Sirtuins: neoplastic role in cancer cervix (Oral)

National Conference on New Horizons in Cancer Biology

16-17 March 2018, Ahmedabad

4 Ms. Vinal Upadhyay Manual curation of markers from the published microarray datasets to establish a gene group for glioblastoma diagnosis via liquid biopsy (Poster)

5 Ms. Nirali Shukla Delineation of molecular targets for paediatric brain tumors (Poster)


16-17 March 2018, Ahmedabad6 Ms. Yesha Desai Protein expression of Abcg2 and

Nanog in oral squamous cell carcinoma (Poster)

Cytogenetic Lab

7 Dr. Dharmesh Patel Significance of chromosomal abnormalities in acute lymphocytic leukemia: A GCRI experience (Oral)


16-17 March 2018, AMA, Ahmedabad

8 Ms. Darshita Patel Heterogeneity of mixed lineage leukemia in acute leukemia patients (Oral)

9 Ms. Mahnaz Kazi Promoter methylation of Wnt pathway antagonists- sFRP1 and DKK3 are associated with unfavorable prognosis in breast cancer (Poster)

10 Ms. Priya Varma Chronic myelomonocytic leukemia with dup(1), t(12;15) involving ETV6/RNU6-19p identified by cytogenetic & molecular cytogenetic technique: A novel favorable-risk translocation (Poster)


99


11 Ms. Dhara Bhimani Assessment of Her-2 neu status by fluorescence in situ hybridization in breast cancer (Poster)



12 Ms. Nehal Patel Identification of novel translocation (3;6) (q26:21) in AML-ETO negative AML-M2 pediatric patient by molecular cytogenetic techniques (Poster)


13 Dr. Shilpa Patel Current concept on epithelial ovarian cancer (Panelist)

CME by Zydus Onco Sciences 16 Sep 2017, Ahmedabad

14 Dr. Meeta Mankad Stromal tumors of the ovaries an enigma often missed (Guest Lecture)

State Organization of Societies of Obstetricians and Gynecologists of Gujarat

5-7 Jan 2018, Ahmedabad

15 Dr. Ava Desai HPV is evil: fiction or reality (Guest Lecture)

16 Journey with ovarian cancer (Guest Lecture)

CME on Ovarian cancer Feb 2018, Ahmedabad

17 Lessons from ovarian lesions (Oration)

Rajkot Obstructive & Gynecological Society

28 Jan 2018, Rajkot

18 Dr. Garima Pandey Vulvo vaginal melanoma-A rare and aggressive tumor (Poster)

Urogynaec-2017 7-10 Dec 2017, Ahmedabad

Immunohematology Lab

19 Dr. Kruti Rajvik Evaluation of effect of turmeric in lung cancer patients (Oral)


16-17 March 2018, AMA, Ahmedabad 20 Dr. Birva Raiya Role of immunophenotyping in

prediction of BCR/ABL gene rearrangement in B acute lymphoblastic leukemia (Poster)

21 Dr. Nupur Patel Identification of basal markers in triple negative breast cancer phenotype (Poster)

Medical Oncology

22 Dr. Varun Nagori A retrospective study of clinical profile and long term outcome to Imatinib mesylate alone in childhood chronic myeloid leukemia in chronic phase

rd3 Medical Oncology Society Conference, MOSCON - 2017

23-24 Sep 2017, Sadvichar Parivar, Ahmedabad

23 Stomach metastasis from carcinoma breast mimicking as primary gastric cancer: a rare presentation


16-17 March 2018, Ahmedabad


100


24 Dr. Akash Patel To study the clinical profile of patients with acute promyelocytic leukemia with reference to induction outcomes

rd3 Medical Oncology Society Conference, MOSCON - 2017

23-24 Sep 2017, Sadvichar Parivar, Ahmedabad25 Dr. Gaurav Mantri Primary granulocytic sarcoma: A

case report and review of literature

26 Dr. Shushant Ikhar Clinical profile of multiple myeloma patients at GCRI

27 Dr. Akshay Shivchand

Primary diffuse large B-cell lymphoma of the breast: A rare case and review of literature

28 Dr. Reshma Pundarik Outcomes of high dose chemotherapy and stem cell transplant in relapsed and refractory non- Hodgkins lymphoma: A retrospective analysis

29 Dr. Honey Parekh study of clinical profile of non-Hodgkin’s lymphoma in pediatric cancer patients

30 Dr. VijayKumar Bhargav

Role of Dasatinib in the patients with loss of milestones on Imatinib: A single center study

31 Dr. Ekta Vala Granulocytic sarcoma–rare presentations of acute myeloid leukemia: Case reports

32 Dr. Salil Patkar To study effect of Gefitinib in patients with advanced adenocarcinoma of lung

th69 Annual Conference of IMA Gujarat State Branch

18-19 Nov 2017, Gandhinagar

33 Dr. Alok Rajan Analysis of malignancies in HIV positive patients - GCRI experience

34 Dr. Manan Vaghela Rare case report of pure red cell aplasia and associated thymoma

Joint International Conference-2018

6 Jan 2018, Ahmedabad


35 Dr. Prabhabhai Patel Molecular basis of oral cancer involving various facets(Invited Speaker)

th4 Nirma Institute of Pharmacy International Conference - NIPICON - 2018

23-25 Jan 2018, Ahmedabad

36 Dr. Kinjal A. Patel Alterations in p53 and its significance in oral cancer progression (Oral)

National Conference on New Horizon in Cancer Biology

16-17 March 2018, AMA, Ahmadabad

37 Dr. Kinjal D. Patel Influence of susceptibility variants on progression of breast cancer (Oral)


101


38 Ms. Bhoomi Tarapara Molecular mechanisms of Imatinib resistance in CML patients (Poster)

National Conference on New Horizon in Cancer Biology

16-17 March 2018, AMA, Ahmadabad39 Ms. Riddhi Gokani Significance of HPV infection and

VEGF expression in cervical cancer (Poster)

40 Ms. Kruti Mehta Clinical significance of altered glycosylation in oral cancer progression (Poster)

Pathology

41 Dr. Jyoti Sawhney Role and relevance of the euroflow antibody panel immunophenotyping of chronic lymphoproliferative disorder (Invited Speaker)



42 Dr. Brajesh Goyal Importance of immunophenotyping in ALL- A GCRI Study (Oral)

st 41 Gujarat Association of Pathologist and Microbiologist

15-17 Dec 2017, Rajkot

43 Dr. Mauli Joshi Acute myeloid leukemia: Correlation of Immunophenotyping markers with morphology and cytogenetics (Oral)

44 Dr. Hetal Patel Correlation of frozen section reporting and final histopathology reporting in ovarian neoplasm: A tertiary oncology center experience (Oral)

Radiology

45 Dr. Jitendra Rathava Role of MRCP in pancreatico billiary pathology

Indian Radiological and Imagine Association-IRIA, CME

2 July 2017, Ahmedabad

46 Dr. Vibhal Parmar Role of conventional X-ray in ostiolytic skull lesions

47 Dr. Kushal Makwana CT spectrum of pancreatic lesion

48 Dr. Vipul Bhatia Role of conventional imaging in posterior mediastinal mass

Radiotherapy


Management of early breast cancer (Panelist)

nd2 Gujarat Breast Meet 10-11 March 2018, Ahmedabad50 Management of toxicities of head

and neck malignancies (Moderator)

51 Updates on breast cancer (Panelist) CME Update 3 Sep 2017, Ahmedabad


102



“Role of stereotactic body radiotherapy (SBRT) in spinal tumors (Speaker)

CME in Update in Neuro-oncology

4 June 2017, Ahmedabad

53 Role of neoadjuvant and adjuvant treatment in locally advanced gastric cancer (Panelist)

14-16 April 2017, Ahmedabad

54 Dr. Maitrik Mehta Role of SRS vs WBRT+SRS in brain metastasis (Guest Speaker)

nd 2 Gujarat Breast Meet 10-11 March 2018, Ahmedabad

Stem Cell Biology Lab

55 Dr. Franky Shah Clinical significance vitamin D signalling pathway in breast cancer (Invited Speaker)


16-17 March 2018, AMA, Ahmedabad 56 Dr. Apexa Raval Association of growth factor and

receptors and RTK signaling in breast cancer (Poster)

57 Dr. Urja Desai Drug resistance and metabolism of Ara-C in acute myeloid leukemia: in-silico & in-vitro approach (Oral)

58 Dr. Jigna Joshi Potential biomarkers in oral cancer progression and prognosis (Oral)

59 Mr. Hitarth Patel The Hedgehog signaling pathway in human cancer (Poster)

60 Ms. Aditi Patel An effect of potent carcinogen in progression of oral cancer (Poster)

61 Ms. Disha Jethva Expression of multidrug resistance markers in lung cancer (Poster)

62 Ms. Heena Pandya miR-126 and miR-335 expression in breast cancer (Poster)

Surgical Oncology

63 Dr. Abhijeet Salunke Approach to Bone Tumors IMSOS Onco Ortho Update 12 Nov 2017

64 Dr Jaymin Shah

65 Scapulectomy in Orthopedic Oncosurgery

GOACON 2018 9 -11 Feb 2018, Surat

Tumor Biology Lab

63 Dr. Kinjal Gajjar Clinical impact of DNA repair pathway in colorectal cancer



64 Ms. Mittal Mistry Role of -catenin in breast cancerβ

65 Ms. Devanshi Dalal Evaluation of GSTP1 protein expression in breast cancer patients


103


66 Ms Chaitra Nair Role of Her/neu expression in colorectal cancer


16-17 March 2018, AMA, Ahmedabad 67 Ms. Priti Kanik Clinical relevance of biomarkers

involved in RAS-mediated signaling pathway in colorectal cancer


104

Q2. PublicationsApril 2017 - March 2018

Anaesthesiology

1 Rekha Solanki Dipika Patel, Bipin Patel, Prakash Marwan, Dhaval Chavda, Mohit Rathod: Anaesthesia management in patients with craniovertebral junctional Anomalies. Ind J Anesth and Analgesia, 2017, 4: 1105-1109.

2 Leena Patel, Jayshree Thakkar, Nikul Prajapati, Vijeta Tandel, Abhisek Bhardhwaj, Bipin Patel: Comparison of intubating condition after rocuronium bromide and succinyl choline. Asian Arch Anesthesiol and Resuscitation, 2016, 82: 29.

Blood Bank

3 Dhara Ardeshana, Rima Kusumgar: Seroprevalence of HIV, HbSAg, HIV in blood donors in tertiary care hospital. Nat J Integrated Res in Medicine, 2018 (Accepted).


4 Trupti Trivedi, Toral Kobawala, Nandita Ghosh, Kinjal Gajjar, Jignesh Goswami: Clinical Relevance of SOCS1 and SOCS3 in patients with oral squamous cell carcinoma. American Journal of Cancer Res and Clinical Oncol, 2017, 3: 1-14.

5 Trupti Trivedi, Suresh Prajapati, Toral Kobawala, Nandita Ghosh, Prabhudas Patel: Protein expression of p53 and CD44 in patients with cancer of buccal mucosa. GCSMC J Med Sci, 2017: 6: 50-59.

Microbiology Lab

6 Parijath Goswami, Shashank Pandya, Shilpa Patel: Human papilloma virus (HPV) and human cancers: Experience from a regional cancer center, Gujarat. GCS Res. J, 2017, 19: 16-22.

Community Oncology & Medical Records

7 Janmesh Shah, Anand Shah, Himanshu Patel, Vishruti Pandya, Geeta Joshi: Time trends of breast cancer incidence of two periods in Ahmedabad Urban Agglomeration Area. GCS Res J, 2017, 20: 23-24.

Community Oncology Center, Vasna

8 Geeta Joshi: Editorial: Holistic care in chronic pain. Indian J Pain, 2017, 31: 77-79.

Cytogenetic Lab

9 Pina Trivedi, Dharmesh. Patel, Manisha Brahmbhatt, Ankita Sugandhi, Hiral Patel, Prabhudas Patel: A Sole t(10;19)(p11.2;p12) in AML-ETO negative AML-M2 paediatric patient: First novel case from India. GCSMC Journal of Medical Science, 2017, 6:1.

10 Pina Trivedi, Dharmesh Patel, Priya Varma, Manisha Brahmbhatt, Prabhudas Patel: Sole translocation (6;9) (p23;q34) in AML-ETO negative AML-M2 patient. Journal of Down Syndrome and Chromosome Abnormalities, 2017, 3: 1000125.

11 Dharmesh Patel, Pina Trivedi, Manisha Brahmbhatt, Priya Varma: Acute lymphoblastic leukemia with hyperdiploidy and philadelphia chromosome-poor or good prognostic indicator? Int J of Science and Res Methodology, 2017; 8:140-148.

Immunohaematology Lab

12 Hemangini Vora, Birva Raiya, Pina Trivedi, Dharmesh Patel, Prabhudas Patel, Beena Brahmbhatt, Sonia Parikh: Minimal residual disease detection in splenic marginal zone lymphoma by flowcytometry and cytogenetic technique. GCS Res J, 2017, 20: 34-36.

13 Shalvi Mehta, Darshita Patel, Dhruv Nimavat, Hemangini Vora: A study of evaluating Ikaros protein and Ikzf1 mRNA transcript in B cell acute lymphoblastic leukemia. Austin J Cancer Clinical Res, 2017, 4: 1079.

14 Shayma Shaikh, Birva Raiya, Hemangini Vora: Inflammation associated changes at tumor site and in circulation in node negative oral squamous cell carcinoma Int J Dental Res and Oral Sci, 2017, 1: 32-37.


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15 Ruchi Arora, Shilpa Patel, Pabashi Poddar: A study of cytology and colposcopy in VIA (visual inspection of cervix with 5% acetic acid) positive women. Int J Reprod Contracept Obstet Gynecol, 2018, 7: 571-575.

16 Bijal Patel, Ava Desai, Shilpa Patel, Meeta Mankad, Pariseema Dave, Chetana Parikh, Amisha Gami: Should the appendix always be removed during surgery for mucinous ovarian tumors? Int J Reprod Contracept Obstet Gynecol, 2018, 7: 677-684.

17 Anusha Kamath, Pariseema Dave, Meeta Mankad: Evaluation of incompletely staged ovarian cancer: A single center study from Western India. J South Asian Federation of Menopause Societies, 2017, 5: 133-137.

Medical Oncology

18 Asha Anand: Spirituality and the attitude of the medical profession, GCS Res J, 2017, 19: 18.

19 Sonia Parikh, Asha Anand, Harsha Panchal, Apurva Patel, Sandip Shah, Kalpesh Prajapati, Gaurang Modi, Nitin Joshi: A retrospective study of clinical profile and long term outcome to Imatinib mesylate alone in childhood chronic myeloid leukemia in chronic phase. Gulf J Oncol, 2017, 23:15-20.

20 Preetam Kalaskar, Asha Anand, Harsha Panchal, Apurva Patel, Sonia Parikh, Sandip Shah: A comparative study of bloodstream infections in acute myeloid leukemia according to different phases of treatment: Can we predict the organism? South Asian J Cancer, 2017, 6: 132-133.

21 Rahul Kulkarni, Sonia Parikh, Asha Anand, Harsha Panchal, Apurva Patel, Priti Trivedi, Kshitij Joshi, Pushpak Chirmade: Solitary plasmacytoma of bone involving spine in a 12-year old boy: Report of a rare case and review of literature. J Pediatr Neurosci, 2017, 12: 67-71.

22 Satyam Satyarth, Sonia Parikh, Asha Anand, Jyoti Sawhney, Harsha Panchal, Apurva Patel, Sandip Shah: Acute lymphoblastic leukemia as secondary malignancy in a case of Ewing's sarcoma on treatment. Ind J Med Paediatr Oncol, 2017, 38: 354-356.

23 Pushpak Chirmade, Sonia Parikh, Asha Anand, Harsha Panchal, Apurva Patel, Sandip Shah: Primary pleuropulmonary synovial sarcoma with brain metastases in a paediatric patient: an unusual presentation. Adv Respir Med, 2017, 85: 206–210.

24 Dhruv Mehta, Priti Trivedi, Asha Anand, Sonia Parikh, Pushpak Chirmade: Primary intracranial granulocytic sarcoma: A case report and review of literature. J NTR Univ Health Sci, 2017, 6: 169-173.

25 Dhruv Mehta, Pushpak Chirmade, Asha Anand, Sonia Parikh: Primary diffuse large B-cell lymphoma of the breast: A rare case and review of literature. Indian J Med Pediatr Oncol, 2017, 38: 244-247.

26 Preetam Kumar Jain, Harsha Panchal, Asha Anand, Rakesh Patil, Salil Petkar: Methotrexate induced toxic epidermolysis necrosis stevens-johnson syndrome in a child with acute lymphoblastic leukemia. GCS Res J, 2017, 19: 22-25.

27 Irappa Madabhavi, Gaurang Modi, Apurva Patel, Asha Anand, Harsha Panchal, Sonia Parikh: Pulmonary toxicity following bleomycin use: A single-center experience. J Can Res Ther, 2017, 13: 466-470.

28 Preetam Kataria, Pradip Kendre, Apurva Patel: Ifosfamide-induced encephalopath precipitated by aprepitant: A rarely manifested side effect of drug interaction. J Pharmacol Pharmacother, 2017, 8: 38-40.

29 Pradip Kendre, Pritam Kataria, Apurva Patel, Lal Chand Mittal, Tushar Mule: Metastasis as initial presentation of squamous cell carcinoma of gallbladder: A rare clinical entity. Indian J Pathol Microbiol, 2017, 60: 440-441.

30 Pradip Kendre, Pritam Kataria, Apurva Patel, L Gaurav, Sameer Dalsaniya: Hemangiopericytoma of supraglottis: A rare case report and review of literature. J Cancer Res and Therapt, DOI: 10.4103/jcrt.JCRT_939_16.


31 Sabrina Pathan, Kinjal R. Patel, Asha Anand, Jayendra Patel, Prabhudas Patel: Clinical significance of FLT-3 internal tandem duplication and D835 mutations in acute myeloid leukemia patients from West Indian population. GCSMC J Med Sci, 2017, 6: 46-49.


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32 Kinjal D. Patel, Shruti Patel, Kinjal R. Patel, Bhoomi Tarapara, Jayendra Patel, Franky Shah, Prabhudas Patel: XRCC2 and XRCC3 polymorphisms and breast cancer-A case-control study from West India. GCSMC J Med Sci, 2017, 6: 38-44.

33 Jayendrakumar Patel, Kinjal Patel, Shruti Patel, Kinjal Patel, Prabhudas Patel: Assessment of salivary lactate dehydrogenase activity in oral squamous cell carcinoma. GCS Res J, 2017, 20: 25-29.

Palliative Medicine

34 Priti Sanghavi, Dipak Patel, Geeta Joshi: Radiofrequency ablation of Sphenopalatine ganglion for head and neck cancer pain management. Ind J Pain, 2017, 31:13-17.

35 Priti Sanghavi, Bhavna Shah, Geeta Joshi. Home based application of Sphenopalatine ganglion block for head and neck cancer pain management. Ind J Palliative Care, 2017, 3:23-27.

36 Geeta Joshi: The Sooner the Better: Palliative care in oncology. Editorial: GCS Res J, 19: 2017, 1:1-2.

Pathology

37 Dhaval Jetly, Annapoorani Varadarajan, Priya Patel, Kinnari Nayak: Epitheloid sarcoma-A case series of three different presentations. Case Reports in Clinical Pathology, DOI: https://doi.org/10.5430/crcp.v4n3p1.

38 Trupti Patel, Majal Shah, Jahnavi Gandhi, Prapti Patel: Accuracy of cytology in subtyping non small cell lung carcinoma. Dignostic Cytology, 2017, 45: 598-603.

39 Biren Parikh, Nisha Khanna, Dhaval Jetly, Hemangini Vora, Abhishek Kumar, Priya Patel: Flowcytometry anylysis of surface and cytoplasmic markers in acute monoblastic leukemia-GCRI experience. Sch J App Med Sci, 2017, 5: 2041-2046.

40 Biren Parikh, Abhishek Kumar, Priti Trivedi, Dhaval Jetly, Nisha Khanna, Siddharth Thummar: Co-relation between morphology and special stains with flow cytometry in diagnosis of acute leukemia. Sch J App Med Sci, 2017, 5: 2047-2051.

Radiodiagnosis

41 Himanshu Soni, Mehul Patelia, Jitendra Rathva: Extraskeletal osteosarcoma arising from kidney: A case report. GCS Res J, 2017, 19: 37-40.

Radiotherapy

42 Pooja Nandwani Patel, Sumit Goyal, Anand Shah, Mehul Gohel, U Suryanarayan: Prospective study of sequential volumetric changes of parotid gland in early oropharyngeal carcinoma treated by intensity modulated radiation therapy: An institutional experience. South Asian J Cancer, 2018, 7: 55-57.

43 Jyoti Poddar, Ashutosh Das Sharma, U. Suryanarayan, Sonal Patel Shah, Ankita Parikh, Vimesh Mehta, Tarun Kumar: Calculation of dose-volume parameters and indices in plan evaluation of HDR interstitial brachytherapy by MUPIT in carcinoma cervix. Ind J Cancer, 2018. DOI 10.4103/ijc.IJC_643_17.

44 Ashutosh Das Sharma, Jyoti Poddar, U. Suryanarayan, Sonal Patel Shah, Ankita Parikh, Vimesh Mehta, Tarun Kumar: Dosimetric analysis of the effects of bladder volume on organs at risk (OAR) in high dose rate brachytherapy in carcinoma cervix-An institutional study. J Contemporary Brachytherapy, 2018, 1: 26-31.

45 Vandana Dahiya, Shikha Dhal, Maitri Bhagat, Maitrik Mehta, Ankita Parikh, Asha Anand, Prerak Agrawal, Arya Kumar Banidutta: Lung carcinoma in CLL-A case report: Int J Scientific Res, 2017, 6: 44-45.

46 Mridul Anand, Ankita Parikh, Sonal Patel, U. Suryanarayan: Randomized study of oral mesoprostol for cervical ripening before intracavitory brachytherapy for carcinoma uterine cervix. GCS Res J, 2017, 20: 8-10.

47 Ankita Parikh, Mridul Anand, Sunnia Gupta, Sonal Patel, Jyoti Poddar, Jigna Bhattacharya, U. Suryanarayan, Rakesh Vyas: Neoadjuvant therapy in locally advanced vulvar cancer: A single institutional experience. Int J Scientific Res, 2017, 6: 9-11.

48 Kunikullaya SU, Jyoti Poddar, Ashutosh Das Sharma, Sonal Patel: Pattern of distant metastasis in molecular subtypes of carcinoma breast: An institutional study. Ind J Cancer, 2017, 54: 327-332.


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49 Sonal Patel, U. Suryanarayan, Jyoti Poddar, Jaymin Shah, Abhijit Salunke, Satish Pelagade: Extracorporeal irradiation in management of primary bone tumors-An institutional experience. GCS Res J, 2017, 19:14-17.

50 Jyoti Poddar, Ashutosh Das Sharma, Sonal Patel Shah, U. Suryanarayan: Pattern of brain metastasis in immunohistochemistry based subtypes of carcinoma breast- an institutional study. Imperial J Interdisciplinary Res, 2017, 8: 367-371.

51 Ankita Parikh, Mridul Anand, Sunnia Gupta, Sonal Patel, Jyoti Poddar, Jigna Bhattacharya, U. Suryanarayan, Rakesh Vyas: Neoadjuvant therapy in vulvar cancer- a single institutional experience International J Scintific Res, 2017, 6.


52 Kavan Shah, Shanaya Patel, Bansari Modi, Franky Shah, Rakesh Rawal: Uncovering the potential of CD44v/SYNE1/miR34a axis in salivary fluids of oral cancer patients. J Oral Pathol Med., 2018, 47: 345-352.

Tumor Biology Lab

53 Kinjal Gajjar, Toral Kobawala, Trupti Trivedi, Hemangini Vora, Nandita Ghosh. DPYD IVS14+1 G>A polymorphism in colorectal cancer in Western India. Open Access Journal of Cancer & Oncology, 2017, 1: 1-5.

54 Toral Kobawala, Kinjal Gajjar, Trupti Trivedi, Girish Patel, Nandita Ghosh: IL-2 and IL-12 in thyroid cancer: clinical implication. Int J Cancer Therapy & Oncology, 2018, 6.

55 Kinjal Gajjar, Toral Kobawala, Trupti Trivedi, Hemangini Vora, Nandita Ghosh: Influence of TS expression on survival in patients with colorectal cancer. International J Advanced Medical and Health Res, 2017, 4: 61-68.

56 Kinjal Gajjar, Hemangini Vora, Toral Kobawala, Trupti Trivedi, Nandita Ghosh: Deciphering the potential value of 5-FU metabolic enzymes in predicting prognosis and treatment response of colorectal cancer patients. Int J of Biological Markers; 2018, 33: 180-188.

57 Kinjal Gajjar, Toral Kobawala, Trupti Trivedi, Hemangini Vora, Nandita Ghosh: MTHFR C677T polymorphism but not protein expression predicts clinical outcomes in patients with colorectal cancer. Int J Cancer Therapy & Oncol, Accepted for publication, 2017.


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Q3. Ongoing Extramural Research Projects

April 2017-March 2018

No. Name of PI Project Title Funded by


1 Dr. Trupti Trivedi Elucidating prognostic markers in glioma: a correlative and a pilot study to differentiate glioma subtypes using liquid biopsy

GCS/GCRI

2 Dr. Trupti Trivedi Exploring significance of molecular markers for classification of medulloblastoma tumors

GCS/GCRI

3 Dr. Trupti Trivedi Establishment of potential biomarkers for the management of brainstem glioma tumors

GCS/GCRI

Microbiology Lab

4 Dr. Parijat Goswami Prevalence of New Delhi Metallo Beta lactamase in acinetobacter species

GCS/GCRI

Community Oncology & Medical Records

5 Dr. Shashank Pandya Rural Cancer Registry, Ahmedabad District National Centre for Disease Informatics and Research, National Cancer Registry Programme, ICMR, Bangalore

6 Dr. Shashank Pandya Population based cancer registry - Ahmedabad Urban Agglomeration Area

National Centre for Disease Informatics and Research, National Cancer Registry Programme, ICMR, Bangalore

7 Dr. Shashank Pandya Hospital based cancer registry (HBCRs) and patterns of care and survival studies on cancer breast, cancer cervix and head and neck cancers

National Centre for Disease Informatics and Research, National Cancer Registry Programme, ICMR, Bangalore

8 Dr. Janmesh Shah Effectiveness and safety of 2 Vs 3 doses of HPV vaccine in preventing cervical cancer: An Indian multicentric study

International Agency for Research on Cancer, Lyon, France

Cytogenetic Lab

9 Dr. Prabhabhai Patel Clinical implication of MMPs, VEGF and hTERT in Imatinib resistant CML patients

GCS/GCRI

10 Dr. Prabhabhai Patel Clinical implications of multidrug resistance proteins in CML patients

GCS/GCRI

11 Dr. Pina Trivedi Study of clinical and prognostic significance of gene rearrangements in CLL

GCS/GCRI

12 Dr. Dharmesh Patel Study of PTEN alterations in prostate cancer patients as a prognostic marker

GCS/GCRI


109


Immunohematology Lab

13 Dr. Hemangini Vora A study of triple negative breast cancer with respect to molecular subtypes assessed on immunohistochemistry and its correlation with survival

GCS/GCRI

14 Dr. Hemangini Vora Detection of minimal residual disease in acute lymphoblastic leukemia by multicolor flowcytometry

GCS/GCRI

15 Dr. Nupur PatelDr. Hemangini Vora

A study to determine role of miRNA 200 family molecules in breast cancer patients exhibiting EMT

GCS/GCRI

16 Dr. Hemangini Vora Dr. Priti Trivedi

Determination of sensitivity of Napsin A and p40 in differential diagnosis of NSCLC

GCS/GCRI

17 Dr. Priti TrivediDr. Hemangini Vora

A study of hormonal markers and proliferative markers in pituitary adenoma

GCS/GCRI

Medical Oncology

18 Dr. Asha Anand Prospective, multi-centric, open label, two arm, parallel group, active control, randomized, comparative clinical study to evaluate efficacy and safety of R-TPR-017 / MabThera® in patients with Non-Hodgkin's Lymphoma

Reliance Life Science

19 Dr. Asha Anand A prospective, randomized, multi-center study to compare the safety, tolerability and efficacy of Bevacizumab (ZydusCadila) with Bevacizumab (Avastin®) in non small cell lung cancer (NSCLC)

Zydus Cadila

20 Dr. Harsha Panchal Prospective, multi-centre, randomized, open-label, two arm, parallel group, active-control, comparative clinical study to evaluate efficacy, safety and pharmacokinetics of R-TPR-016/ Herceptin® (HerclonTM) when given intravenously in patients with metastatic HER2-overexpressing breast cancer

Reliance Life Sciences

21 Dr. Harsha Panchal A phase II/III open label multicentric randomized trial to determine the safety and efficacy of non-pegylated liposomal doxorubicin (Nudoxa) at two different dose levels as compared to doxorubicin in patients with metastatic breast cancer

Zydus Cadila

22 Dr. Harsha Panchal A phase III randomized , open label, multicentric, global study of MED14736 in combination with Tremelimimab therapy versus standard of care platinum based chemotherapy in first line treatment of patients with advanced or metastatic non small cell lung cancer (NSCLC) (NEPTUNE)

Astra Zenecea

23 Dr. Harsha Panchal Reditux™ registry to compare effectiveness, safety, and resource utilization of Reditux™ vs. the reference medicinal product to treat diffuse large B-cell lymphoma and chronic lymphocytic leukemia in routine clinical practice

Dr. Reddy’s Laboratories Ltd.

24 Dr. Harsha Panchal A randomized, double-blind, placebo-controlled, phase 3 study to compare NSAI (Anastrozole or Letrozole) plus Abemaciclib, a CDK4 and CDK6 inhibitor, or plus placebo, and to compare fulvestrant plus Abemaciclib or plus placebo in postmenopausal women with hormone receptor-positive, HER2-negative locoregionally recurrent or metastatic breast cancer

Eli Lilly & Company


110


25 Dr. Harsha Panchal A study of palbociclib in combination with Letrozole as treatment of post-menopausal women with hormone receptor-positive, HER2-negative advanced breast cancer for whom letrozole therapy is deemed appropriate

Pfizer Ltd.

26 Dr. Apurva Patel A phase III multicenter, randomized study of oral LDK378 versus standard chemotherapy in previously untreated adult patients with ALK rearranged (ALK-positive), stage IIIB or IV, non-squamous non-small cell lung cancer

Novartis

27 Dr. Apurva Patel A prospective, adaptive, randomized, open-label, multicenter clinical trial to assess the efficacy and safety of fixed dose combination of capecitabine & cyclophosphamide in patients of metastatic breast cancer with failure of anthracycline and/or taxane chemotherapy

Intas (Lambda)

28 Dr Apurva Patel An open label, single arm, multicentric, phase IV study to evaluate the safety and efficacy of bevacizumab of Intas Pharmaceuticals limited in approved indications

Intas (Lambda)

29 Dr. Sonia Parikh ABO8026 A prospective, multicenter, randomized, open-label, active-controlled, two-parallel groups, phase III study to compare the efficacy and safety of masitinib at 7.5 mg/kg/day to dacarbazine in the treatment of patients with non-resectable or metastatic stage III or stage IV melanoma carrying a mutation in the juxta membrane domain of c-kit

Maya Clinicals

30 Dr. Shashank Pandya A phase III randomized controlled study of injection proluton (Hydroxyprogesterone caproate) as single dose preoperative therapy in patients with high risk operable breast cancer

Tata Memorial Center

31 Dr. Shashank Pandya Randomized controlled trial to assess blockade of voltage gated sodium channels during surgery in operable breast cancer

Tata Memorial Center

32 Dr. Priti Sanghavi A multi-centre, randomized, double blind, parallel-group, comparative clinical trial to evaluate the safety and clinical equivalence of generic clotrimazole Troche/Lozenges USP, 10 mg (Unique Pharmaceutical Laboratories, India) to Clotrimazole Troche/Lozenges ® 10 mg (Roxane Laboratories Inc., USA) in subjects with oropharyngeal candidiasis

Thinq Pharma

33 Dr. Sonal Patel Shah A two arm, randomized, multicentric, open label, efficacy and safety study of docetaxel lipid suspension for injection of Intas Pharmaceuticals limited, India in non-small cell lung cancer patients

Intas (Lambda)


34 Dr. Prabhabhai Patel Dr. Ava Desai

VEGF family expression in cancer cervix and its prognostic significance

GCS/GCRI

35 Dr. Prabhabhai Patel Dr. Ava DesaiDr. Shilpa Patel

Prevalence of high risk human papilloma virus type 16 and 18 in cervical cancers in population from Gujarat, West India

GCS/GCRI

36 Dr. Prabhabhai Patel Significance of Galectin-3 with glycosylation in oral cancer GCS/GCRI


111


37 Dr. Prabhabhai Patel Dr. Hemangini Vora

Immuno score as a new possible approach for the classification of colon cancer Multinational project

GCS/GCRI

38 Dr. Jayendrakumar Patel

Significance of JAK-2, NPM1, C-KIT and FLT3 ITD and D835 mutations in leukemia patients

GCS/GCRI

Radiotherapy


Study of sequential volumetric changes of parotid gland in early oropharyngeal carcinoma patients treated by image guided radiation therapy

GCS/GCRI


Comparison of induction chemotherapy followed by concurrent chemoradiotherapy versus adjuvant chemotherapy in locally advanced nasopharyngeal cancer

GCS/GCRI

41 Dr. Maitrik Mehta Comparison of involved site radiotherapy versus involved field radiotherapy by CT based 3 dimensional conformal treatment planning in Hodgkin’s lymphoma

GCS/GCRI

42 Dr. Sonal Patel Shah DOCEAQUALIP in non small cell lung cancer Lambda (CRO)

43 Dr. Ankita ParikDr. Preeti Sanghavi

To evaluate generic Clotrimazole/ Roxane with oropharyngeal Candidiasis

Thinq Pharma


44 Dr. Franky Shah Assessment of stem cell associated miRNAs in triple negative breast cancer

GCS/GCRI

45 Dr. Franky Shah Assessment of hedgehog signalling pathway in progression of oral cancer

GCS/GCRI

Tumor Biology Lab

46 Dr. Nandita Ghosh Molecular markers of Wnt signalling pathway in breast cancer: A preliminary study

GCS/GCRI

47 Dr. Nandita Ghosh Circulating levels of miRNA-21 and miRNA-221 as biomarkers in colorectal cancer

GCS/GCRI

48 Dr. Nandita Ghosh Exploring the clinical importance of molecular biomarkers involved in EGFR-induced and K-Ras mediated signaling pathways in colorectal cancer patients

GCS/GCRI

112


R. List of Equipments 2017 - 2018

No. Name of the Instrument Qty. Company Name Price in Rs.

Tumor Biology Lab

1 Water Bath 1 Marco Scientific 16,520.00

Microbiology

1 Automated Analyser for CRP and Immunological tests

1 Unity Healthcare 147,500.00

2 0-20 C Deep freezer 1 Kensure Healthcare Pvt. Ltd. 507,150.00

3 Blood Culture System 1 M/s. BactecFX40 575,397.00

Neuro OT

1 Horizontal Steam Sterilizer 1 M/s. Precision Electronic Instruments & Company

1,184,400.00

Main OT / Surgical Oncology

1 High Flow CO Insufflator2 1 Surgiworld Healthcare System 222,929.00

2 Portable Electrical Suction Machine 4 Harsh Surgical 52,640.00

3 Ultrasonic Surgical Aspirator 1 Cure Surgicals 3,759,000.00

4 Battery Drill System for Orthopadic use 1 Medical Development Engineering 1,075,750.00

5 Vessel Sealing with Argon Plasma Coagulation & Water jet System with essential accessories

1 Pulse Biomed 7,117,129.00

6 Syringe Infusion pump 5 Akas Medical 139,910.00

7 Micro Saw 1 M/s. Surgiworld Healthcare system 12,68,917.00

8 Endoscopic 3D Laproscopic System 1 M/s. Karl Storz Endoscopy India Pvt. Ltd.

4,311,000.00

9 Full High Definition Laproscopy Surgery Set 1 M/s. Surgiworld Healthcare System 2,800,000.00

10 ESU with argon coagulation with essential accessories

1 M/s. Pulse Biomed 1,701,949.00

11 Intermittent Sequential Compressor device 1 Ved Medical & Services 112,000.00

12 Gamma Detection Probe 1 M/s. Saxsons Biotech Pvt Ltd. 2,718,600.00

13 Electrosurgical Generator for underwater cutting and Vessel Sealing system with all essential accessories

1 Pulse Biomed 1,515,285.00

Histopathology

1 Automatic Slide Stainer With Cover Slipper 1 M/s. Global Equipments 6,982,500.00

2 Cryocut 1 M/s. Siddharth Scientific 19,31,790.00

Cytogenetics Lab

1 Slide warmer 2 Ultra Scientific Instrument 46,620.00

2 Centrifuge 1 Arihant Enterprise 31,624.00

3 Hot Air Oven 1 EIE Instrument 24,544.00

4 Weighing Balance 1 Marco Enterprise 240,384.00

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Blood Bank

1 Vertical Autoclave 1 D. K. Scientific Technologies 122,850.00

2 Portable Di-Electric Tube sealer 1 Nisha Slaes 134,000.00

3 Di-Electric Tube Sealer 1 RS Enterprise 80,360.00

4 Tube stripper 1 RS Enterprise 14,336.00

5 0Plasma Freezer -40 C Deep freezer 1 Kensure Healthcare Pvt. Ltd. 507,150.00

6 Refrigerated Cenrifuge Component Separation 1 J. B. Healthcare 3,500,000.00

Gynecological Oncology / OPD

1 Colposcope 1 M/s. Regulas Marketing Pvt. Ltd. 18,28,570.80

2 Hysteroscope 1 M/s. Surgiworld Healthcare System 2,300,000.00

Carcinogenesis Lab

1 Weighing Balance 1 Marco Enterprise 240,384.00

Physiotherapy

1 Low Level Therapeutic Laser for Physiotherapy 1 M/s. Bio-tech India 1,679,912.00

Surgical OPD

1 Telescope 90 degree 1 Karl Storz 205,000.00

COC Vasna

1 Autoclave 1 New Era Marketing 15,225.00

Siddhpur Cancer Care Center

1 ECG Machine 1 Sterling Sales & Services 48,750.00

2 Centrifuge 1 Arihant Enterprise Pvt. Ltd. 31,624.00

3 Semibiochemistry Auto Analyzer 1 MicroLab Systems 85,999.00

4 BOD incubator 1 DP Analytics 28,480.00

5 Hot air oven 1 EIE Instruments 24,544.00

6 Binocular Microscope 1 Lawrance and Mayo 46,080.00


1 0-80 C Deep freezer 1 Biolinx Lab System Pvt. Ltd. 1,303,346.00

2 Refrigerated Cenrifuge 1 M/s. Biolinx Lab System 15,96,850.80

DSU

1 Digital Single Chip Medical Video Camera Head 1 Healthware Pvt. Ltd. 201,876.00

IVTC

1 Thoracovideoscope 1 Healthware Pvt. Ltd. 2,185,006.00

2 Video bronchoscope 1 Sun Medical Systems 2,520,000.00

3 Flushing Pump 1 M/s. Healthware Pvt. Ltd. 2,94,451.50

4 CO Insufflation unit2 1 M/s.Healthware Pvt. Ltd. 433,000.00

5 Endowasher 1 M/s. Mitra Medical Services LLP 634,410.00

6 Gastroendoscopy System (EUS) System 1 M/s. Surgiworld Healthcare System 8,463,000.00

7 High Defination Gastrovideoscope 1 M/s. Pulse Biomed 3,912,339.00

8 High Defination Colonovideoscope 1 Sun Medical Syestem 1,540,000.00

114



9 High Definitation Duodenoscope 1 M/s. Sun Medical System 1,047,200.00

10 High Definition Pediatric Gastroscope 1 M/s. Sun Medical System 1,478,400.00

11 High Definition Entereovideoscope 1 M/s. Sun Medical System 2,464,000.00

Anesthesiology

1 Patient Controlled Analgesia 1 Akas Medical 41,107.00

2 Adult Airway Management Trainer 1 Aditya Surgical 207,000.00

3 Blood Warmer 1 Aditya Surgical 91,800.00

4 Intubating Fiber Optic Bronchoscope 1 Health Ware Pvt. Ltd. 1,149,781.00

5 Portable USG for nerve block 1 M/s. Fujifilm India Pvt. Ltd. 1,631,375.00

6 Advanced CPR Training System with Feedback 1 Aditya Surgical 336,300.00

Cancer Biology

1 Droplet Digital TM PCR 1 M/s. Bio - Rad Laboratries 65,07,055.80

2 Real Time PCR 1 M/s. Unity Healthcare 829,500.00

2 Modular Cell / Tissue Culture Facility 1 M/s. Fusiontek 9,011,399.00

3 Micro Array Facility 1 M/s. Bioinnovation 21,281,300.00

4 Gel Documentation with Chemiluminascence 1 M/s. Biolinx Labsistem Pvt. Ltd. 1,628,400.00

5 Multimode Micro Plate Reader 1 M/s. Biolinx lab system 2,904,954.00

6 Centrifuge for 96 well plate 1 M/s. Biolinx Lab System 616,782.49

Radiology

1 3T MRI 1 M/s. Siemens Healthcare Pvt. Ltd. 130,707,781.00

2 Digital Mammography 1 M/s. Siemens Healthcare Pvt. Ltd. 35,045,571.00

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Civil Hospital Campus, Asarwa, Ahmedabad 380 016, Gujarat, INDIATel: 079-22688000 (Hunting); Fax: 079-22685490

FINANCIAL STATEMENT

(BALANCE SHEET)

2017 - 2018

THE GUJA�T CANCER & RESEARCH INSTITUTE(M. P. SHAH CANCER HOSPITAL)

Afliated to B J Medical College

S. Balance Sheet

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AnnualReportPreparationCommittee

HeadofDepartments/Units/Services/AdministrativeSections

Oursincerethanksandgratitudeto:

ShriOmprakashKohliji,HisExcellencytheGovernorofGujarat

ShriVijayRupani,Hon'bleChiefMinister,GujaratState

ShriNitinPatel,Hon'bleDeputyChiefMinister,GujaratState

ShriJNSingh,IAS,ChiefSecretary,Govt.ofGujarat

ShriPunamchandParmar,IAS,Addl.ChiefSecretary,Health&FamilyWelfareDept.,

Govt.ofGujarat

Dr.JayantiSRavi,IAS,PrincipalSecretary&CommissionerofHealth,Govt.ofGujarat

ShriMilindTorawane,IAS,Secretary,FinanceDept.(Exp),Govt.ofGujarat

ShriPKTaneja,IASChairman/MD,GMDC,Ahmedabad

Dy.DirectorGeneral,Dte.General&HealthServices

MinistryofHealth&FamilyWelfare,Govt.ofIndia

Director(IF),MinistryofHealth&FamilyWelfare,Govt.ofIndia

Mayor,AhmedabadMunicipalCorporation

MunicipalCommissioner,Ahmedabad

Superintendent,CivilHospital,Ahmedabad

Dean,Govt.DentalCollege,Ahmedabad

Dean,B.J.MedicalCollege,Ahmedabad

DirectorGeneral,IndianCouncilforMedicalResearch,NewDelhi

Officer-Incharge,ICMR,NCRP,Bangalore

Director,NIOH,Ahmedabad

ViceChancellor,GujaratUniversity,Ahmedabad

DepartmentofHealth&FamilyWelfare,Govt.ofGujarat

MinistryofHealth&FamilyWelfare,Govt.ofIndia

DirectorGeneralofDepartmentofScience&Technology,NewDelhi

DirectorGeneralofDepartmentofBiotechnology,NewDelhi

CommissionerofPolice,Ahmedabad

GujaratCancerSociety,Ahmedabad

SocialOrganisationsprovidinghelpinghandtoourdaytodayactivities

All staffmembersofGujaratCancer&Research InstituteandGujaratCancerSociety

Parivar

Director,InstituteofKidneyDiseases&ResearchCentre

Director,U.N.MehtaInstituteofCardiology&ResearchCentre

DeanandallstaffmembersofGCSMCH&RC

Acknowledgment

Dr.HemanginiVora,Dr.TruptiTrivedi,Mr.RushiPatel,Mr.MahendraKumpavat

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Felicitation of Padma Shri Dr. Pankaj M. Shah(Former Director GCRI & Vice President of GCS)

GCRIMission:FightagainstCancerGCRIMission:FightagainstCancer


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